Mens Health Bellaire

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MENS HEALTH BELLAIRE

Practice address

5103 Bellaire Blvd Ste 240
Bellaire, TX 77401-4419

Phone

(832) 925-7712

Fax

(346) 331-5179

NPI assigned

Apr 3, 2020

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

Electronic endpoints 1

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1770112674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 BELLAIRE BLVD STE 240",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014419",
            "telephone_number": "832-925-7712",
            "fax_number": "346-331-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5103 BELLAIRE BLVD STE 240",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014419",
            "telephone_number": "832-925-7712",
            "fax_number": "346-331-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENS HEALTH BELLAIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@menshealthbellaire.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5103 Bellaire Blvd Ste 240",
            "city": "Bellaire",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774014419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Family Medicine Physician in Bellaire, TX
• Providers in Bellaire, 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 Apr 3, 2020; 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.