Organization Active NPI

Clinica Hispanasalud Integral

  • Nursing Facility/Intermediate Care Facility
  • Houston, TX
National Provider Identifier
1750716791
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
J6641 Issued in TX
Legal business name
CLINICA HISPANASALUD INTEGRAL
Practice address
737 W Cavalcade St
Houston, TX 77009-3048
Phone
(832) 831-6350
Fax
(832) 831-6351
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Stantont Clark Packard, MD
Title
Doctor
Phone
(832) 831-6350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X J6641 TX Primary

Addresses

Primary practice location

737 W Cavalcade St
Houston, TX 77009-3048

Mailing address

737 W Cavalcade St
Houston, TX 77009-3048
Phone (832) 831-6350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1750716791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 W CAVALCADE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770093048",
            "telephone_number": "832-831-6350",
            "fax_number": "832-831-6351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 W CAVALCADE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770093048",
            "telephone_number": "832-831-6350",
            "fax_number": "832-831-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA HISPANASALUD INTEGRAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "PACKARD",
        "authorized_official_first_name": "STANTONT",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "832-831-6350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TX",
            "license": "J6641",
            "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 Sep 10, 2013; 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.