Pre Med Care Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRE MED CARE CLINIC, LLC

Doing business as

Pre Med Care Clinic, LLC

Practice address

5420 Bellaire Blvd Ste a
Bellaire, TX 77401-3957

Phone

(713) 663-6322

Fax

(713) 663-6944

NPI assigned

Aug 12, 2006

Last updated

Sep 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Rodis Briggs Jr.

Title

Billing MGR

Phone

(936) 258-9361

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PRE MED CARE CLINIC, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victoria Gacad Faires, FNP-C

  • Family Nurse Practitioner
  • Bellaire, TX
  • NPI 1184047110
  Medicare reassignment NPD
• Jorge Ricardo Valencia, M.D.

  • Family Medicine Physician
  • Bellaire, TX
  • NPI 1033104013
  Medicare reassignment NPD
• Rodolfo G Giraldi, M.D.

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1659569028
  Medicare reassignment
• Marisa Rivera Lanuza, MD

  • General Practice Physician
  • Bellaire, TX
  • NPI 1801813704
  Medicare reassignment
• Nelson Javier Arellano Velez

  • Case Manager/Care Coordinator
  • Bellaire, TX
  • NPI 1396667549
  NPD (past)
• Gonzalo Uribebotero, MD

  • Family Medicine Physician
  • Houston, TX
  • NPI 1023052164
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1861404691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 BELLAIRE BLVD STE A",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013957",
            "telephone_number": "713-663-6322",
            "fax_number": "713-663-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 BELLAIRE BLVD STE A",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013957",
            "telephone_number": "713-663-6322",
            "fax_number": "713-663-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRE MED CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "RODIS",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "936-258-9361",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169667603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0079EM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRE MED CARE CLINIC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen B. Pottkotter, PH.D., LPC, RPT-S
• Camille Powell, PHARMD
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• Rajarshi Pratihar, AU.D. MHA MBA
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• Family Medicine Physician in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.