Second Mile Mission Center

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

SECOND MILE MISSION CENTER

Practice address

504 Murphy Rd
Ste.I
Stafford, TX 77477-5419

Phone

(281) 261-9199

Fax

(281) 403-1143

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Cliff Parker

Title

Executive Director

Phone

(281) 261-9199

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1689888612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 FM 1092",
            "address_2": "STE.I",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "77477",
            "telephone_number": "281-261-9199",
            "fax_number": "281-403-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MURPHY RD",
            "address_2": "STE.I",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775419",
            "telephone_number": "281-261-9199",
            "fax_number": "281-403-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND MILE MISSION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CLIFF",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-261-9199",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Health Clinic/Center in Stafford, TX
• Providers in Stafford, TX by specialty
• Community Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.