City Family Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CITY FAMILY CLINIC LLC

Doing business as

CITY FAMILY CLINIC & URGENT CARE

Practice address

3802 Cartwright Rd
102
Missouri City, TX 77459

Phone

(832) 693-6532

NPI assigned

Mar 20, 2017

Organization subpart

No

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

Authorized official

Name

Omana Simon, NURSE PRACTITIONER

Title

Owner

Phone

(832) 693-6532

Specialties & licenses 1

Addresses

Other names 1

• CITY FAMILY CLINIC & URGENT CARE Doing business as

Locations

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1699216937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 CARTWRIGHT RD",
            "address_2": "102",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "832-693-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 CARTWRIGHT RD",
            "address_2": "102",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "77459",
            "telephone_number": "832-693-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "OMANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-693-6532",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CITY FAMILY CLINIC & URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.