Organization Active NPI

Mishie Mack Management, Incorporated

  • Physical Medicine & Rehabilitation Physician
  • Houston, TX
National Provider Identifier
1821320219
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
I04412 Issued in TX
Legal business name
MISHIE MACK MANAGEMENT, INCORPORATED
Practice address
2015 Engelmohr St
Houston, TX 77054-3805
Phone
(713) 791-9539
Fax
(713) 791-9539
NPI assigned
Feb 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Mishie I Craft
Title
Director
Phone
(713) 791-9539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X I04412 TX Primary

Addresses

Primary practice location

2015 Engelmohr St
Houston, TX 77054-3805

Mailing address

2015 Engelmohr St
Houston, TX 77054-3805
Phone (713) 791-9539

Other names 1

  • ADJ CARE SYSTEMS Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1821320219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 ENGELMOHR ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543805",
            "telephone_number": "713-791-9539",
            "fax_number": "713-791-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 ENGELMOHR ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770543805",
            "telephone_number": "713-791-9539",
            "fax_number": "713-791-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISHIE MACK MANAGEMENT, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "CRAFT",
        "authorized_official_first_name": "MISHIE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-791-9539"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "I04412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADJ CARE SYSTEMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 9, 2010; 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.