Organization Active NPI

Second Silhouette, Inc

  • Prosthetic/Orthotic Supplier
  • Houston, TX
National Provider Identifier
1740358191
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SECOND SILHOUETTE, INC
Practice address
17000 El Camino Real
Suite 106
Houston, TX 77058-2636
Phone
(281) 286-1943
Fax
(281) 286-4340
NPI assigned
Dec 2, 2006
Organization subpart
Yes
Parent organization
SECOND SILHOUETTE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Pamela J Petak
Title
Office Manager
Phone
(713) 529-3733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

17000 El Camino Real
Suite 106
Houston, TX 77058-2636

Mailing address

17000 El Camino Real
Suite 106
Houston, TX 77058-2636
Phone (281) 286-1943

National Provider Directory

National Provider Directory
Part of
Second Silhouette Inc

Locations

2331 University Blvd
Houston, TX 77005

17000 El Camino Real
Ste 106
Houston, TX 77058
Phone (281) 286-1943

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1740358191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 EL CAMINO REAL",
            "address_2": "SUITE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582636",
            "telephone_number": "281-286-1943",
            "fax_number": "281-286-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 EL CAMINO REAL",
            "address_2": "SUITE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582636",
            "telephone_number": "281-286-1943",
            "fax_number": "281-286-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND SILHOUETTE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SECOND SILHOUETTE, INC",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "PETAK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-529-3733"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 1, 2007; 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.