St. Michael Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

K0353 Issued in TX

Legal business name

ST. MICHAEL MEDICAL CLINIC

Practice address

13727 Cedar Point Dr
Houston, TX 77070-2706

Phone

(281) 655-5100

Fax

(281) 655-1415

NPI assigned

Jan 29, 2008

Last updated

Jan 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thuan K. Nguyen, M.D.NPI 1841206703

Title

President

Phone

(281) 655-5100

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

St Michael Medical Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St Michael Medical Clinic P a

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1730383001
  NPD tax ID

Locations

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.

• Thuan Khac Nguyen, M.D.

  • Internal Medicine Physician
  • Cypress, TX
  • NPI 1841206703
  NPD (past) Authorized official

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1700063039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13727 CEDAR POINT DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702706",
            "telephone_number": "281-655-5100",
            "fax_number": "281-655-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13727 CEDAR POINT DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702706",
            "telephone_number": "281-655-5100",
            "fax_number": "281-655-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MICHAEL MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THUAN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-655-5100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030319002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Mary's Behavioral Health
• St. Mary's Healthcare,Inc.
• St. Mary's Place, LLC (The Psych Pro)
• St. Matthew Diagnostic Clinic, Inc.
• St. Memorial Therapy Center, Inc
• St. Michael's EMS, Inc.
• St. Michael's Pain and Spine Clinics PLLC
• St. Monica's Therapy Center
• St. Nicholas Operations LLC
• St. Patrick EMS Ambulance SRVC

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.