NPIMap

Organization Active NPI

Childrens Specialty Care Clinic

  • Pediatrics Physician
  • Waller, TX
National Provider Identifier
1790720647
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDRENS SPECIALTY CARE CLINIC
Practice address
31303 FM 2920 Rd
Suite G
Waller, TX 77484-8197
Phone
(936) 931-3448
Fax
(936) 931-3704
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Dr. Saifuddin Tahir, M.D.NPI 1760447494
Title
Owner
Phone
(936) 931-3448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

31303 FM 2920 Rd
Suite G
Waller, TX 77484-8197

Mailing address

PO Box 1176
Waller, TX 77484-1176
Phone (936) 931-3448

National Provider Directory

National Provider Directory

Locations

17330 Spring Cypress Rd
Ste 1
Cypress, TX 77429

17330 Spring Cypress Rd
Ste 150
Cypress, TX 77429
Phone (281) 373-3786

18602 FM 1488 Rd
Ste 150
Magnolia, TX 77354

1223 Farr St
Waller, TX 77484
Phone (936) 931-3366

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1790720647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1176",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774841176",
            "telephone_number": "936-931-3448",
            "fax_number": "936-931-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31303 FM 2920 RD",
            "address_2": "SUITE G",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774848197",
            "telephone_number": "936-931-3448",
            "fax_number": "936-931-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS SPECIALTY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "TAHIR",
        "authorized_official_first_name": "SAIFUDDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-931-3448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.