Organization Active NPI

KBBR Inc.

  • Primary Care Clinic/Center
  • Houston, TX
National Provider Identifier
1780946301
Registry record updated Jan 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
696808 Issued in TX
Legal business name
KBBR INC.
Practice address
14526 Old Katy Rd
Suite 220
Houston, TX 77079-1021
Phone
(281) 531-0661
Fax
(281) 531-0665
NPI assigned
Jun 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2014

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

Authorized official

Name
Crystal Ray Nwaboh, NURSE PRACTITIONER
Title
Ceo/Owner
Phone
(281) 531-0661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 696808 TX Primary

Addresses

Primary practice location

14526 Old Katy Rd
Suite 220
Houston, TX 77079-1021

Mailing address

14526 Old Katy Rd
Suite 220
Houston, TX 77079-1021
Phone (281) 531-0661

National Provider Directory

National Provider Directory

Locations

5950 N Sam Houston Pkwy E
Ste 401
Humble, TX 77396
Phone (281) 441-1571

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389398400000",
    "number": "1780946301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14526 OLD KATY RD",
            "address_2": "SUITE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791021",
            "telephone_number": "281-531-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14526 OLD KATY RD",
            "address_2": "SUITE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791021",
            "telephone_number": "281-531-0661",
            "fax_number": "281-531-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KBBR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2014-01-11",
        "status": "A",
        "authorized_official_last_name": "NWABOH",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "281-531-0661",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "696808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.