Active NPI
Christline Healthcare Inc.
- Primary Care Clinic/Center
- Richmond, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CHRISTLINE HEALTHCARE INC.
- Practice address
- 9711 S Mason Rd # 125-267
Richmond, TX 77407-7167 - Phone
- (713) 909-6764
- Fax
- (248) 458-4571
- NPI assigned
- Nov 9, 2019
- 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
- Augustine Ukor, NP
- Title
- President
- Phone
- (713) 909-6764
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Gerontology Nurse Practitioner | 363LG0600X |
Addresses
Primary practice location
9711 S Mason Rd # 125-267
Richmond, TX 77407-7167
Mailing address
9711 S Mason Rd # 125-267
Richmond, TX 77407-7167
Phone (713) 909-6764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144417106 | Other | OWNER NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7211 S Mason Rd
Ste 125267
TX 77407
9711 S Mason Rd
Richmond, TX 77407
Phone (346) 933-2463
9711 S Mason Rd
Ste 125267
Richmond, TX 77407
Phone (713) 909-6764
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Clinic/Center
- Richmond, TX
- NPI 1144417106
-
- Family Medicine Physician
- Houston, TX
- NPI 1356633846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732320000000",
"number": "1720623192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9711 S MASON RD # 125-267",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774077167",
"telephone_number": "713-909-6764",
"fax_number": "248-458-4571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9711 S MASON RD # 125-267",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774077167",
"telephone_number": "713-909-6764",
"fax_number": "248-458-4571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTLINE HEALTHCARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-09",
"last_updated": "2024-11-23",
"certification_date": "2024-11-23",
"status": "A",
"authorized_official_last_name": "UKOR",
"authorized_official_first_name": "AUGUSTINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "713-909-6764",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWNER NPI",
"identifier": "1144417106",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.