Memorial Men's Health, LP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MEMORIAL MEN'S HEALTH, LP

Practice address

12505 Memorial Dr Ste 300
Houston, TX 77024-6051

Phone

(713) 376-9670

NPI assigned

Dec 3, 2018

Last updated

Jan 18, 2019By 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

Jeanette Valdivieso, DO

Title

Cmo

Phone

(713) 376-9670

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1760952709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 W 18TH ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12505 MEMORIAL DR STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770246051",
            "telephone_number": "713-376-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEN'S HEALTH, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "VALDIVIESO",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "713-376-9670",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Memorial Medical Center (Ashford Gardens)
• Memorial Medical Center (Solera at West Houston)
• Memorial Medical Staffing Services
• Memorial Medical Supply
• Memorial Medical Supply, Inc.
• Memorial Modern Dentistry,PC (Memorial Modern Dentistry)
• Memorial MRI & Diagnostic, LLC (Memorial Nuclear Imaging)
• Memorial MRI and Diagnostic LLC
• Memorial Neurological Association
• Memorial Northwest Emergency Physicians, LLP

• 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 Jan 18, 2019; 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.