Organization Active NPI

Westbury Diagnostic and Wellness Center LLC

  • Medical Physician Assistant
  • Houston, TX
National Provider Identifier
1871916072
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA01617 Issued in TX
Legal business name
WESTBURY DIAGNOSTIC AND WELLNESS CENTER LLC
Practice address
5600 S Willow Dr
Suite 101
Houston, TX 77035-4713
Phone
(713) 729-5934
Fax
(713) 729-5945
NPI assigned
Jan 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Mr. George A Simpson Jr., PA
Title
Owner
Phone
72137295934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X PA01617 TX Primary

Addresses

Primary practice location

5600 S Willow Dr
Suite 101
Houston, TX 77035-4713

Mailing address

5600 S Willow Dr
Suite 101
Houston, TX 77035-4713
Phone (713) 729-5934

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1871916072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 S WILLOW DR",
            "address_2": "SUITE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770354713",
            "telephone_number": "713-729-5934",
            "fax_number": "713-729-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 S WILLOW DR",
            "address_2": "SUITE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770354713",
            "telephone_number": "713-729-5934",
            "fax_number": "713-729-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBURY DIAGNOSTIC AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-24",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "72137295934",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA01617",
            "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 Apr 22, 2014; 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.