Organization Active NPI

Fastclinics LLC

  • Internal Medicine Physician
  • Bellville, TX
National Provider Identifier
1750071296
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FASTCLINICS LLC
Practice address
1408 S Front St
Bellville, TX 77418-3307
Phone
(713) 480-6412
Fax
(862) 571-4331
NPI assigned
May 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Richards Afonja, MDNPI 1255300141
Title
Owner
Phone
(862) 571-4331

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
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1408 S Front St
Bellville, TX 77418-3307

Mailing address

1408 S Front St
Bellville, TX 77418-3307
Phone (713) 480-6412

Other practice location 1

13111 Westheimer Rd Ste 101
Houston, TX 77077-5546
Phone (713) 480-6412

National Provider Directory

National Provider Directory

Practitioners 2

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": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1750071296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 S FRONT ST",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774183307",
            "telephone_number": "713-480-6412",
            "fax_number": "862-571-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 S FRONT ST",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774183307",
            "telephone_number": "713-480-6412",
            "fax_number": "862-571-4331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13111 Westheimer Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770775546",
            "country_code": "US",
            "telephone_number": "713-480-6412",
            "fax_number": "862-571-4331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FASTCLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "AFONJA",
        "authorized_official_first_name": "RICHARDS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-571-4331",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.