Spring Shadows Medical Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

827700 Issued in TX

Legal business name

SPRING SHADOWS MEDICAL CLINIC

Practice address

2549 Gessner Rd
Houston, TX 77080-3801

Phone

(832) 649-8110

NPI assigned

Sep 16, 2014

Last updated

Nov 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rubeena Ayesha, NP

Title

Ceo

Phone

(832) 649-8110

Specialties & licenses 1

Addresses

Other names 1

• LLC Other name

Tax ID family

LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Spring Shadows Medical Clinic

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1245647072
  NPD tax ID

Locations

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1740682202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2549 GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77080",
            "telephone_number": "832-649-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2549 GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770803801",
            "telephone_number": "832-649-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING SHADOWS MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "AYESHA",
        "authorized_official_first_name": "RUBEENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-649-8110",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "827700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Spring Independent School District
• Spring Iom, PLLC
• Spring Medical Laboratory LLC
• Spring Neuromonitoring LLC
• Spring Shadows Medical Clinic
• Spring Skin Medical Group
• Spring Sleep Center, Inc.
• Spring Staffing Services LLC
• Spring Valley Primary Care, P.a.
• Spring Valley Primary Care, P.a.

• Primary Care Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.