Organization Active NPI

Celestial Specialty Care, PA

  • Ambulatory Surgical Clinic/Center
  • Bellaire, TX
National Provider Identifier
1689815359
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
E6533 Issued in TX
Legal business name
CELESTIAL SPECIALTY CARE, PA
Practice address
5420 West Loop S Ste 3500
Bellaire, TX 77401-2121
Phone
(713) 664-2662
Fax
(713) 987-7691
NPI assigned
Mar 10, 2009
Last updated
Mar 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Authorized official

Name
Dr. Robert Alan Moore, M.D.
Title
Owner
Phone
(713) 664-2662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X E6533 TX Primary

Addresses

Primary practice location

5420 West Loop S Ste 3500
Bellaire, TX 77401-2121

Mailing address

PO Box 741126
Houston, TX 77274-1126
Phone (713) 532-7311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1236643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236643200000",
    "number": "1689815359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741126",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772741126",
            "telephone_number": "713-532-7311",
            "fax_number": "731-532-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 WEST LOOP S STE 3500",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012121",
            "telephone_number": "713-664-2662",
            "fax_number": "713-987-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTIAL SPECIALTY CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-10",
        "last_updated": "2009-03-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-664-2662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "E6533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2009; 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.