Organization Active NPI

Gulfton Primary Care Clinic Inc

  • Pain Medicine (Anesthesiology) Physician
  • Sugar Land, TX
National Provider Identifier
1760858526
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
GULFTON PRIMARY CARE CLINIC INC
Practice address
2743 Imperia Dr Ste 302
Sugar Land, TX 77479-8988
Phone
(713) 777-4040
Fax
(713) 772-9269
NPI assigned
Aug 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Dr. Tasneem Agha, MD
Title
Medical Director/Ceo
Phone
(713) 777-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

2743 Imperia Dr Ste 302
Sugar Land, TX 77479-8988

Mailing address

2473 Impeira Dr Suite 302
Sugar Land, TX 77479
Phone (713) 777-4040

National Provider Directory

National Provider Directory

Locations

6110 Gulfton St
Houston, TX 77081
Phone (281) 857-1608

2743 Imperia Dr
Ste 302
Sugar Land, TX 77479
Phone (713) 777-4040

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1760858526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2473 IMPEIRA DR SUITE 302",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "713-777-4040",
            "fax_number": "713-777-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 IMPERIA DR STE 302",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774798988",
            "telephone_number": "713-777-4040",
            "fax_number": "713-772-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFTON PRIMARY CARE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "AGHA",
        "authorized_official_first_name": "TASNEEM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "713-777-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.