Organization Active NPI

Greater Houston Enterprises LLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1821743675
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
GREATER HOUSTON ENTERPRISES LLC
Practice address
12377 Bissonnet St
Houston, TX 77099-1270
Phone
(281) 530-2722
Fax
(281) 530-2724
NPI assigned
Feb 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Jose A Paredes
Title
Owner
Phone
(281) 530-2722

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

12377 Bissonnet St
Houston, TX 77099-1270

Mailing address

12377 Bissonnet St
Houston, TX 77099-1270
Phone (281) 530-2722

Other names 1

  • Clinica San Pablo Doing business as

National Provider Directory

National Provider Directory

Locations

12377 Bissonnet St
Houston, TX 77099
Phone (281) 530-2722

NPI Registry JSON

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1821743675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12377 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991270",
            "telephone_number": "281-530-2722",
            "fax_number": "281-530-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12377 BISSONNET ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991270",
            "telephone_number": "281-530-2722",
            "fax_number": "281-530-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HOUSTON ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "PAREDES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-530-2722"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica San Pablo",
            "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 Mar 29, 2022; 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.