Organization Active NPI

Wilmar Healthcare Systems, Inc.

  • Psychologist
  • Houston, TX
National Provider Identifier
1831287218
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
23456 Issued in TX
Legal business name
WILMAR HEALTHCARE SYSTEMS, INC.
Practice address
10103 Fondren Rd Ste 475
475
Houston, TX 77096-4671
Phone
(713) 988-2956
Fax
(713) 988-4855
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
William Owuama
Title
Administrator
Phone
(713) 988-2956

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 23456 TX Primary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X G9623 TX

Addresses

Primary practice location

10103 Fondren Rd Ste 475
475
Houston, TX 77096-4671

Mailing address

10103 Fondren Rd Ste 475
475
Houston, TX 77096-4671
Phone (713) 988-2956

Other identifiers 2

IdentifierTypeStateIssuer
147163303MedicaidTX
147163302MedicaidTX

National Provider Directory

National Provider Directory

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1831287218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 FONDREN RD STE 475",
            "address_2": "475",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964671",
            "telephone_number": "713-988-2956",
            "fax_number": "713-988-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 FONDREN RD STE 475",
            "address_2": "475",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770964671",
            "telephone_number": "713-988-2956",
            "fax_number": "713-988-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMAR HEALTHCARE SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "OWUAMA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-988-2956"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "23456",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "G9623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147163303",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147163302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 23, 2008; 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.