Commerce Medical Group LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

COMMERCE MEDICAL GROUP LLC

Practice address

8700 Commerce Park Dr
Ste 219
Houston, TX 77036-7497

Phone

(713) 778-1277

Fax

(713) 778-1297

NPI assigned

Oct 18, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Vitaliy Kim

Title

Owner

Phone

(713) 778-1277

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1831442516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR",
            "address_2": "STE 219",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367497",
            "telephone_number": "713-778-1277",
            "fax_number": "713-778-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR",
            "address_2": "STE 219",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367497",
            "telephone_number": "713-778-1277",
            "fax_number": "713-778-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMERCE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "VITALIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-778-1277",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; 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.