Active NPI
Integranet-Gulf Coast PA
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1831414838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.
-
- Family Medicine Physician
- Houston, TX
- NPI 1497744825
-
- Physical Medicine & Rehabilitation Physician
- Houston, TX
- NPI 1881646974
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
- Integra Behavioral Healthcare
- Integra Medical Clinic PLLC
- Integranet Chronic Care Management LLC
- Integranet Physician Medical Group, Inc
- Integranet Physician Resource, Inc.
- Integrated Adult Day Health & in-Home Services, LLC
- Integrated Community Care Network LLC
- Integrated Diagnostic Center, Inc.
- Integrated Health and Pain Management PLLC
- Integrated Health, Inc.
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.