La Providence Medical Center

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LA PROVIDENCE MEDICAL CENTER

Practice address

8511 N Houston Rosslyn Rd Ste 220
Houston, TX 77088-6433

Phone

(713) 981-6002

NPI assigned

Mar 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ifeyinwa Onwudiwe

Title

Director

Phone

(832) 206-0766

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608768000000",
    "number": "1700279742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8511 N HOUSTON ROSSLYN RD STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770886433",
            "telephone_number": "713-981-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8511 N HOUSTON ROSSLYN RD STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770886433",
            "telephone_number": "713-981-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PROVIDENCE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "ONWUDIWE",
        "authorized_official_first_name": "IFEYINWA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-206-0766",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; 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.