Organization Active NPI

Southwest Texas Medical Service

  • Anesthesiology Physician
  • Houston, TX
National Provider Identifier
1689841934
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
K4261 Issued in TX
Legal business name
SOUTHWEST TEXAS MEDICAL SERVICE
Practice address
4103 La Branch St
Houston, TX 77004-4822
Phone
(713) 691-7744
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Adetola Talabi, M.D.NPI 1912979733
Title
Owner
Phone
(832) 607-6331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X K4261 TX Primary

Addresses

Primary practice location

4103 La Branch St
Houston, TX 77004-4822

Mailing address

PO Box 91159
Houston, TX 77291-1159

Other identifiers 1

IdentifierTypeStateIssuer
135332810MedicaidTX

National Provider Directory

National Provider Directory

Locations

4103 La Branch St
Houston, TX 77004
Phone (713) 691-7744

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1689841934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91159",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772911159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 LA BRANCH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770044822",
            "telephone_number": "713-691-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST TEXAS MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "TALABI",
        "authorized_official_first_name": "ADETOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-607-6331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "K4261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135332810",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.