Organization Active NPI

CTB Ultimate Healthcare Facility

  • Health Maintenance Organization
  • Houston, TX
National Provider Identifier
1689974594
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
CTB ULTIMATE HEALTHCARE FACILITY
Practice address
301 Wells Fargo Dr Ste C6
Houston, TX 77090-4060
Phone
(281) 433-9059
Fax
(281) 651-6551
NPI assigned
Oct 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Theresa F White-Brooks
Title
Owner
Phone
(281) 433-9059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

301 Wells Fargo Dr Ste C6
Houston, TX 77090-4060

Mailing address

301 Wells Fargo Dr Ste C6
Houston, TX 77090-4060
Phone (281) 433-9059

Other names 1

  • CTB ULTIMATE HEALTHCARE FACILITY Doing business as

National Provider Directory

National Provider Directory

Locations

301 Wells Fargo Dr
Ste C6
Houston, TX 77090
Phone (281) 433-9059

NPI Registry JSON

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1689974594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WELLS FARGO DR STE C6",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770904060",
            "telephone_number": "281-433-9059",
            "fax_number": "281-651-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WELLS FARGO DR STE C6",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770904060",
            "telephone_number": "281-433-9059",
            "fax_number": "281-651-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTB ULTIMATE HEALTHCARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "WHITE-BROOKS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-433-9059"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CTB ULTIMATE HEALTHCARE FACILITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 26, 2010; 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.