Organization Active NPI

Integranet-Gulf Coast PA

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1831414838
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INTEGRANET-GULF COAST PA
Practice address
2900 North Loop W Ste 700
Houston, TX 77092-8868
Phone
(281) 447-6800
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Authorized official

Name
Mr. Larry Jerome Wedekind
Title
Ceo
Phone
(281) 591-5265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2900 North Loop W Ste 700
Houston, TX 77092-8868

Mailing address

2900 North Loop W Ste 700
Houston, TX 77092-8868
Phone (281) 447-6800

National Provider Directory

National Provider Directory

Locations

333 N Sam Houston Pkwy E
Ste 1200
Houston, TX 77060
Phone (281) 447-6800

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": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1831414838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NORTH LOOP W STE 700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928868",
            "telephone_number": "281-447-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NORTH LOOP W STE 700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928868",
            "telephone_number": "281-447-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRANET-GULF COAST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "WEDEKIND",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-591-5265",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 17, 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.