Organization Active NPI

Primary Health Network of South Texas

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1740266485
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY HEALTH NETWORK OF SOUTH TEXAS
Practice address
7400 Fannin St
Suite 650
Houston, TX 77054-1920
Phone
(713) 864-4414
Fax
(713) 864-4412
NPI assigned
Dec 15, 2005
Last updated
Jul 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Mr. Todd Evans
Title
VP
Phone
(713) 852-1550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X

Addresses

Primary practice location

7400 Fannin St
Suite 650
Houston, TX 77054-1920

Mailing address

7400 Fannin St
Suite 650
Houston, TX 77054-1920
Phone (713) 864-4414

Other identifiers 6

IdentifierTypeStateIssuer
1740266485MedicaidTX
178023102MedicaidTX
178023109MedicaidTX
178023101MedicaidTX
178023104MedicaidTX
178023103MedicaidTX

National Provider Directory

National Provider Directory

Locations

1804 FM 646 Rd W
Ste J
Dickinson, TX 77539
Phone (281) 316-8757

8850 Long Point Rd
Houston, TX 77055
Phone (713) 467-6555

8945 Long Point Rd
Ste 226
Houston, TX 77055
Phone (713) 864-3190

2016 E Griffin Pkwy
Mission, TX 78572
Phone (956) 581-5555

10970 Shadow Creek Pkwy
Ste 170
Pearland, TX 77584
Phone (281) 997-1510

4225 FM 646 Rd N
Ste 100
Santa Fe, TX 77510
Phone (409) 925-9966

200 W Medical Center Blvd
Ste 102
Webster, TX 77598
Phone (281) 554-2846

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1740266485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST",
            "address_2": "SUITE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541920",
            "telephone_number": "713-864-4414",
            "fax_number": "713-864-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FANNIN ST",
            "address_2": "SUITE 650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541920",
            "telephone_number": "713-864-4414",
            "fax_number": "713-864-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH NETWORK OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "713-852-1550",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740266485",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178023102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178023109",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178023101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178023104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178023103",
            "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 Jul 23, 2009; 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.