Active NPI
Gulfton Primary Care Clinic Inc
- Pain Medicine (Anesthesiology) Physician
- Sugar Land, TX
National Provider Identifier
1760858526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 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 DirectoryLocations
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.