NPIMap

Organization Active NPI

Clinica Universo Latino 1 LLC

Doing business as Clinica Medical Center

  • Clinic/Center
  • Katy, TX
National Provider Identifier
1750751160
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CLINICA UNIVERSO LATINO 1 LLC
Doing business as
Clinica Medical Center
Practice address
5650 Roberts Rd BLDG B
300
Katy, TX 77494-1305
Phone
(832) 437-4883
Fax
(281) 665-7068
NPI assigned
Sep 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Chika OdiliNPI 1104265859
Title
Owner
Phone
(832) 437-4883

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
Clinic/Center 261Q00000X TX Primary

Addresses

Primary practice location

5650 Roberts Rd BLDG B
300
Katy, TX 77494-1305

Mailing address

5650 Roberts Rd BLDG B
300
Katy, TX 77494-1305
Phone (832) 437-4883

Other names 1

  • CLINICA MEDICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

5650 Roberts Rd
Ste 300
Katy, TX 77494
Phone (832) 437-4883

Practitioners & affiliated clinicians

Practitioners 1

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": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1750751160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 ROBERTS RD BLDG B",
            "address_2": "300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941305",
            "telephone_number": "832-437-4883",
            "fax_number": "281-665-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 ROBERTS RD BLDG B",
            "address_2": "300",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774941305",
            "telephone_number": "832-437-4883",
            "fax_number": "281-665-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA UNIVERSO LATINO 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "ODILI",
        "authorized_official_first_name": "CHIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-437-4883"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.