Organization Active NPI

Pan-American OB-GYN PA

  • Obstetrics Physician
  • Houston, TX
National Provider Identifier
1730307703
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
L5466 Issued in TX
Legal business name
PAN-AMERICAN OB-GYN PA
Practice address
6031 Airline Dr
Houston, TX 77076-4209
Phone
(713) 694-6600
Fax
(713) 694-6616
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Dr. Breno Loureiro Miguel, MDNPI 1043249717
Title
Physician Owner
Phone
(713) 694-6600

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
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X L5466 TX Primary

Addresses

Primary practice location

6031 Airline Dr
Houston, TX 77076-4209

Mailing address

6031 Airline Dr
Houston, TX 77076-4209
Phone (713) 694-6600

Other identifiers 2

IdentifierTypeStateIssuer
10004951OtherTXAMERIGROUP
0026JVOtherBCBS

National Provider Directory

National Provider Directory

Locations

6031 Airline Dr
Houston, TX 77076
Phone (713) 691-7488

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25280/brand/1/csg/1/fhir/r4

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1730307703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764209",
            "telephone_number": "713-694-6600",
            "fax_number": "713-694-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 AIRLINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770764209",
            "telephone_number": "713-694-6600",
            "fax_number": "713-694-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAN-AMERICAN OB-GYN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "MIGUEL",
        "authorized_official_first_name": "BRENO",
        "authorized_official_middle_name": "LOUREIRO",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "713-694-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "L5466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10004951",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0026JV",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 9, 2021; 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.