West Little York Medical Center, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WEST LITTLE YORK MEDICAL CENTER, PLLC

Practice address

511 W Little York Rd
Suite a
Houston, TX 77091-2421

Phone

(713) 742-9900

Fax

(713) 742-9901

NPI assigned

Jul 8, 2010

Last updated

Jan 28, 2011By 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

Mr. Courtney Corsalle Gordon Sr., LVN B.A BIOLOGY

Title

Manager

Phone

(713) 742-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Michael T Dome, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1972590214
  NPD (past)

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1750693685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91124",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772911124",
            "telephone_number": "713-742-9900",
            "fax_number": "713-742-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 W LITTLE YORK RD",
            "address_2": "SUITE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770912421",
            "telephone_number": "713-742-9900",
            "fax_number": "713-742-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST LITTLE YORK MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "CORSALLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-742-9900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LVN B.A BIOLOGY"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216816301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• West Houston Specialty Pharmacy
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• West Houston Surgical Associates, P.a.
• West Houston Women's Health
• West Infinity Care Inc (Vital Care West)
• West Medical Clinic
• West Oak Health Clinic, LLC
• West Oaks Chiropractic Clinic Inc
• West Oaks EMS Inc
• West Oaks SCC LLC (West Oaks Nursing & Rehab Center)

• 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 Jan 28, 2011; 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.