Organization Active NPI

Huntsville Womens Center, LP

  • Mammography Clinic/Center
  • Huntsville, TX
National Provider Identifier
1669731535
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
239294 Issued in TX
Legal business name
HUNTSVILLE WOMENS CENTER, LP
Practice address
123 B Medical Park Lane
Huntsville, TX 77340-4981
Phone
(936) 439-4828
Fax
(936) 439-4833
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kirk Kanady, M.D.
Title
Medical Director
Phone
(936) 439-4828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X 239294 TX Primary

Addresses

Primary practice location

123 B Medical Park Lane
Huntsville, TX 77340-4981

Mailing address

PO Box 8399
The Woodlands, TX 77387-8399
Phone (281) 364-1707

Other identifiers 2

IdentifierTypeStateIssuer
M01208OtherTXMAMMOGRAPHY CERTIFICATION
239294OtherTXACR

National Provider Directory

National Provider Directory

Locations

123 Medical Park Ln
Ste B
Huntsville, TX 77340
Phone (936) 439-4826

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1669731535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8399",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773878399",
            "telephone_number": "281-364-1707",
            "fax_number": "281-364-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 B MEDICAL PARK LANE",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404981",
            "telephone_number": "936-439-4828",
            "fax_number": "936-439-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTSVILLE WOMENS CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "KANADY",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "936-439-4828",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "TX",
            "license": "239294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMMOGRAPHY CERTIFICATION",
            "identifier": "M01208",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACR",
            "identifier": "239294",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.