Organization Active NPI

Kidz Plus Medical Clinic

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1730691585
Registry record updated Nov 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KIDZ PLUS MEDICAL CLINIC
Practice address
9930 Cheeves Dr
Houston, TX 77016-3822
Phone
(832) 717-2780
Fax
(832) 717-2781
NPI assigned
Nov 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2017

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

Authorized official

Name
Lonzel Pickron
Title
Executive Director
Phone
(832) 717-2780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

9930 Cheeves Dr
Houston, TX 77016-3822

Mailing address

9930 Cheeves Dr
Houston, TX 77016-3822
Phone (832) 717-2780

Other identifiers 2

IdentifierTypeStateIssuer
AP126545OtherTXTEXAS BOARD OF NURSING
AP126515OtherTXTEXAS BOARD OF NURSING

National Provider Directory

National Provider Directory

Locations

507 N Sam Houston Pkwy E
Houston, TX 77060

507 N Sam Houston Pkwy E
Ste 420
Houston, TX 77060
Phone (832) 717-2780

6237 Highway 6 S
Ste C
Houston, TX 77083
Phone (832) 400-2048

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": "1509580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1730691585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9930 CHEEVES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770163822",
            "telephone_number": "832-717-2780",
            "fax_number": "832-717-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 CHEEVES DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770163822",
            "telephone_number": "832-717-2780",
            "fax_number": "832-717-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ PLUS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "PICKRON",
        "authorized_official_first_name": "LONZEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "832-717-2780"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP126545",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP126515",
            "state": "TX"
        }
    ],
    "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 Nov 2, 2017; 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.