TW Medical Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TW MEDICAL CLINIC LLC

Practice address

8240 Antoine Dr Ste 212
Houston, TX 77088-2523

Phone

(281) 741-8656

NPI assigned

May 3, 2019

Organization subpart

No

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

Authorized official

Name

Daveon Greenleaf

Title

Owner

Phone

(281) 780-3654

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1821653932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 ANTOINE DR STE 212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770882523",
            "telephone_number": "281-741-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 ANTOINE DR STE 212",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770882523",
            "telephone_number": "281-741-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TW MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "GREENLEAF",
        "authorized_official_first_name": "DAVEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-780-3654"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Tuttle, MSN, RN
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• Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.