East Houston Orthopedics & Sports Medicine, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

E8228 Issued in TX

Legal business name

EAST HOUSTON ORTHOPEDICS & SPORTS MEDICINE, P.A.

Practice address

12930 East Fwy
Houston, TX 77015-5710

Phone

(713) 453-6909

Fax

(713) 453-7627

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Roger Weiner, M.D.

Title

President

Phone

(713) 453-6909

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1760488241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12930 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155710",
            "telephone_number": "713-453-6909",
            "fax_number": "713-453-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12930 EAST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155710",
            "telephone_number": "713-453-6909",
            "fax_number": "713-453-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HOUSTON ORTHOPEDICS & SPORTS MEDICINE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "WEINER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-453-6909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E8228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "0897030001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CG3125",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084705501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "00R22H",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Houston Kidney Center LP
• East Houston Medical Group
• East Houston Medicine & Pediatrics Clinic PA
• East Houston Mint Dentistry, PLLC
• East Houston OBGYN & Associates
• East Houston Pathology Group
• East Houston Physicians Group, PA
• East Houston Specialists PLLC
• East Houston Surgery Center, LLC
• East Houston Surgical Associates

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.