St. Joseph Diagnostic Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K1739 Issued in TX

Legal business name

ST. JOSEPH DIAGNOSTIC CLINIC, INC.

Practice address

7457 Harwin Dr Ste 100
Houston, TX 77036-2021

Phone

(713) 337-5200

Fax

(713) 337-5201

NPI assigned

Mar 30, 2009

Last updated

Mar 30, 2009By 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

Mrs. Ekaette Ekpouko, LVN

Title

Administrator

Phone

(713) 337-5200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Kate Christopher, NP

  • Gerontology Nurse Practitioner
  • Richmond, TX
  • NPI 1144745340
  NPD (past)
• Luis Ernesto Zepeda, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1215032602
  NPD (past)

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1750523262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7457 HARWIN DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362021",
            "telephone_number": "713-337-5200",
            "fax_number": "713-337-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7457 HARWIN DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362021",
            "telephone_number": "713-337-5200",
            "fax_number": "713-337-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH DIAGNOSTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "EKPOUKO",
        "authorized_official_first_name": "EKAETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-337-5200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K1739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Johns Family Medicine Clinic
• St. Johns Family Medicine Clinic, LLC
• St. Johns Physician Associates, P.a.
• St. Joseph Dermatopathology, P.a.
• St. Joseph Dermatopathology, P.a.
• St. Joseph Prof. Pharmacy, Inc.
• St. Joseph's Ambulance Service, Inc.
• St. Jude Dental P.C
• Trennessa St. Julien
• Matthew J St. Laurent, MD

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.