Organization Active NPI

Westside Breast Center, LLC

  • General Acute Care Hospital
  • Houston, TX
National Provider Identifier
1871991646
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
WESTSIDE BREAST CENTER, LLC
Practice address
4200 Twelve Oaks Dr
Houston, TX 77027-6812
Phone
(713) 532-7311
NPI assigned
Dec 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Oma Kiggundu
Title
Vice President
Phone
(713) 532-7311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

4200 Twelve Oaks Dr
Houston, TX 77027-6812

Mailing address

5120 Woodway Dr Ste 7012
Houston, TX 77056-1791
Phone (713) 532-7311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1871991646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 WOODWAY DR STE 7012",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770561791",
            "telephone_number": "713-532-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 TWELVE OAKS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770276812",
            "telephone_number": "713-532-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE BREAST CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "KIGGUNDU",
        "authorized_official_first_name": "OMA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "713-532-7311"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "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 Dec 10, 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.