Organization Active NPI

Independen Provider

  • Community Health Clinic/Center
  • Houston, TX
National Provider Identifier
1720243165
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
NA8095978 Issued in TX
Legal business name
INDEPENDEN PROVIDER
Practice address
12430 Janey St
Houston, TX 77015-6616
Phone
(713) 453-8355
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mrs. Ledys Concepcion GarciaNPI 1396992210
Title
Nursing Assistant
Phone
(713) 453-8355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NA8095978 TX Primary

Addresses

Primary practice location

12430 Janey St
Houston, TX 77015-6616

Mailing address

12430 Janey St
Houston, TX 77015-6616
Phone (713) 453-8355

Other names 1

  • Ledys Garcia Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1720243165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12430 JANEY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770156616",
            "telephone_number": "713-453-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12430 JANEY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770156616",
            "telephone_number": "713-453-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDEN PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "LEDYS",
        "authorized_official_middle_name": "CONCEPCION",
        "authorized_official_title_or_position": "NURSING ASSISTANT",
        "authorized_official_telephone_number": "713-453-8355",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "TX",
            "license": "NA8095978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ledys Garcia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

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