Coaches: Access Overflow

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Legal business name

COACHES: ACCESS OVERFLOW

Practice address

2002 Holcombe Blvd
Houston, TX 77030-4211

Phone

(888) 823-0888

NPI assigned

Dec 10, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Maurice Stringfellow, ATHLETIC TRAINER

Title

Owner/Consultatnt

Phone

(281) 901-7395

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1481328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481328000000",
    "number": "1710421771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16210 SIERRA GRANDE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770833822",
            "telephone_number": "888-823-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 HOLCOMBE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304211",
            "telephone_number": "888-823-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACHES: ACCESS OVERFLOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-10",
        "last_updated": "2016-12-10",
        "status": "A",
        "authorized_official_last_name": "STRINGFELLOW",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER/CONSULTATNT",
        "authorized_official_telephone_number": "281-901-7395",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATHLETIC TRAINER"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Houston, TX
• Providers in Houston, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2016; 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.