Pasadena Family Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PASADENA FAMILY CLINIC

Doing business as

Lava Rock Family Clinic

Practice address

1907 Southmore Ave
Pasadena, TX 77502-1314

Phone

(713) 473-3341

Fax

(713) 473-0260

NPI assigned

Dec 19, 2006

Last updated

Aug 22, 2020By 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. Jenny West

Title

Administrator

Phone

(713) 473-3341

Specialties & licenses 1

Addresses

Other names 1

• LAVA ROCK FAMILY CLINIC Doing business as

Locations

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760545826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 SOUTHMORE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021314",
            "telephone_number": "713-473-3341",
            "fax_number": "713-473-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 SOUTHMORE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021314",
            "telephone_number": "713-473-3341",
            "fax_number": "713-473-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-473-3341",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LAVA ROCK FAMILY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.