NPIMap

Organization Active NPI

Greater Houston Oral and Facial Surgery,PA

  • Ambulatory Surgical Clinic/Center
  • Pasadena, TX
National Provider Identifier
1801288089
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
29763 Issued in TX
Legal business name
GREATER HOUSTON ORAL AND FACIAL SURGERY,PA
Practice address
4007 Woodlawn Ave
Pasadena, TX 77504-1910
Phone
(713) 944-0864
Fax
(713) 944-7737
NPI assigned
Feb 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Prashanth Ravi, DMDNPI 1356577175
Title
President
Phone
(713) 944-0864

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 29763 TX Primary

Addresses

Primary practice location

4007 Woodlawn Ave
Pasadena, TX 77504-1910

Mailing address

4007 Woodlawn Ave
Pasadena, TX 77504-1910
Phone (713) 944-0864

National Provider Directory

National Provider Directory

Locations

4007 Woodlawn Ave
Pasadena, TX 77504
Phone (713) 944-0864

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1801288089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4007 WOODLAWN AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041910",
            "telephone_number": "713-944-0864",
            "fax_number": "713-944-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 WOODLAWN AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775041910",
            "telephone_number": "713-944-0864",
            "fax_number": "713-944-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HOUSTON ORAL AND FACIAL SURGERY,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "RAVI",
        "authorized_official_first_name": "PRASHANTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-944-0864",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "29763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.