Jr Wellness Services, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D7887 Issued in TX

Legal business name

JR WELLNESS SERVICES, LLC

Doing business as

Clinica Latina #1

Practice address

6859 S Gessner Dr
Houston, TX 77036-4613

Phone

(713) 981-6472

Fax

(713) 981-6478

NPI assigned

Oct 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Richard P Williams Jr., M.D.

Title

Administrator

Phone

(713) 981-6472

Specialties & licenses 1

Addresses

Other names 1

• Clinica Latina #1 Doing business as

Locations

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256688000000",
    "number": "1760718696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6859 S GESSNER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364613",
            "telephone_number": "713-981-6472",
            "fax_number": "713-981-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 S GESSNER DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364613",
            "telephone_number": "713-981-6472",
            "fax_number": "713-981-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2009-10-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-981-6472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D7887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Latina #1",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Oct 28, 2009; 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.