Cclinic LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

CCLINIC LLC

Practice address

2646 S Loop W
Suite 665
Houston, TX 77054-2665

Phone

(713) 973-7246

NPI assigned

Oct 21, 2014

Organization subpart

No

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

Authorized official

Name

Joe Herrera

Title

Authorized Representative

Phone

(713) 973-7246

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1669876553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W",
            "address_2": "SUITE 665",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542665",
            "telephone_number": "713-973-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W",
            "address_2": "SUITE 665",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542665",
            "telephone_number": "713-973-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "HERRERA",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "713-973-7246"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CC Pharmacy LLC
• CCC - Critical Care Consultants
• Cci Enterprise, Inc.
• CCK DME, Inc.
• Cclinic Alliance, PLLC
• CCNC Nutrition, LLC.
• CCNW I LP
• CCP International LLC
• Cdevine Health Care Services, Inc
• CDH Transportation Inc

• Pain Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pain Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.