Vaccine Center Braeswood, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

M9517 Issued in TX

Legal business name

VACCINE CENTER BRAESWOOD, PLLC

Practice address

8622 S Braeswood Blvd
Houston, TX 77031-1301

Phone

(281) 890-3822

Fax

(281) 890-3844

NPI assigned

Jun 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Syed Mujeeb, MD

Title

Ceo

Phone

(281) 890-3822

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ambreen Mujahid, M.D.

  • Family Medicine Physician
  • Midland, TX
  • NPI 1427231778
  NPD (past)
• Megan Voltz Schneider, FNP-C

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1124363866
  NPD (past)

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1780098699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 S BRAESWOOD BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770311301",
            "telephone_number": "281-890-3822",
            "fax_number": "281-890-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8622 S BRAESWOOD BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770311301",
            "telephone_number": "281-890-3822",
            "fax_number": "281-890-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VACCINE CENTER BRAESWOOD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "MUJEEB",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-890-3822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9517",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "M9517",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• VA Medical Center
• VA Medical Center, Houston
• VA North Texas Health Care System
• Vac Pharmacy Inc
• Diana Vaca
• Vaccine Express, LLC
• Meagan Vacek, DO
• Joyee Goswami Vachani, M.D.
• Bhupatrai G Vachhani, MD
• Shital Vachhani, M.D.

• 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 Jun 24, 2014; 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.