Individual provider Active NPI

Samuel Latrez McGrough

  • Case Manager/Care Coordinator
  • Katy, TX
National Provider Identifier
1770744435
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
21522 Hickman Manor LN
Katy, TX 77449
Phone
(281) 856-2055
Fax
(281) 856-2055
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

21522 Hickman Manor LN
Katy, TX 77449

Mailing address

21522 Hickman Manor LN
Katy, TX 77449-7568
Phone (281) 856-2055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1770744435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21522 HICKMAN MANOR LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774497568",
            "telephone_number": "281-856-2055",
            "fax_number": "281-856-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21522 HICKMAN MANOR LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77449",
            "telephone_number": "281-856-2055",
            "fax_number": "281-856-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGROUGH",
        "first_name": "SAMUEL",
        "middle_name": "LATREZ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.