Active NPI
Family Clinic of Anahuac
- Family Medicine Physician
- Anahuac, TX
National Provider Identifier
1720194566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K1957
- Legal business name
- FAMILY CLINIC OF ANAHUAC
- Practice address
- 105 South Kansas Street
Anahuac, TX 77514-1703 - Phone
- (409) 267-3118
- Fax
- (409) 267-3740
- NPI assigned
- Aug 22, 2006
- Last updated
- Apr 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hossein Yazdani, MD
- Title
- MD
- Phone
- (409) 267-3118
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K1957 | TX | Primary |
Addresses
Primary practice location
105 South Kansas Street
Anahuac, TX 77514-1703
Mailing address
PO Box C
Anahuac, TX 77514-1703
Phone (409) 267-3118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8784NO | Other | TX | MEDICARE |
| 1477564-01 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Family Medicine Physician
- Anahuac, TX
- NPI 1043201635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366070400000",
"number": "1720194566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX C",
"city": "ANAHUAC",
"state": "TX",
"postal_code": "775141703",
"telephone_number": "409-267-3118",
"fax_number": "409-267-3740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 SOUTH KANSAS STREET",
"city": "ANAHUAC",
"state": "TX",
"postal_code": "775141703",
"telephone_number": "409-267-3118",
"fax_number": "409-267-3740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CLINIC OF ANAHUAC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-22",
"last_updated": "2013-04-16",
"status": "A",
"authorized_official_last_name": "YAZDANI",
"authorized_official_first_name": "HOSSEIN",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "409-267-3118",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "K1957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "8784NO",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477564-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anahuac, TX
- Chambers County Public Hospital District No 1 (Bayside Community Hospital and Clinic)
- Chambers County Public Hospital District No. 1 (Chambers Health Mobile Unit)
- Chambers County Sheriff's Office
- Anicha Charlot, FNP
- County of Chambers (Chambers County EMS)
- Courtney Elisabeth Fregia, MSN, APRN, FNP-C
- Devan Briann Gore
- Whitney Lynn Gusman, FNP-C
- Innovative Health Services Inc
- Linda Koonce, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.