Midtown Clinical Assoc, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MIDTOWN CLINICAL ASSOC, PA

Practice address

4405 Griggs Rd
Houston, TX 77021-2815

Phone

(713) 748-4662

NPI assigned

Apr 22, 2007

Organization subpart

No

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

Authorized official

Name

Endia Nichelle Walls, M.D.NPI 1295843621

Title

Owner

Phone

(713) 748-4662

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.

• Endia Walls, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1295843621
  NPD Authorized official

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

{
    "created_epoch": "1177200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1760600217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300958",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772300958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 GRIGGS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212815",
            "telephone_number": "713-748-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN CLINICAL ASSOC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-22",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "ENDIA",
        "authorized_official_middle_name": "NICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-748-4662",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163278801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midland Health Care Services,Inc.
• Midland Smiles PC
• Midnight Grace Therapeutics LLC
• Mids Physicians PA Corporation
• Midtown Chiropractic & Rehab, Inc
• Midtown Doctors Group, PA
• Midtown Family Clinic, Inc.
• Midtown Family Medicine
• Midtown Hospice, Inc.
• Midtown Houston Open MRI CT Corp.

• Family Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.