Organization Active NPI

G&a Wellness Medical Clinic, PLLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1881050813
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
G&A WELLNESS MEDICAL CLINIC, PLLC
Practice address
11037 FM 1960 Rd W Ste B2
Houston, TX 77065-3632
Phone
(832) 234-9400
Fax
(832) 237-9411
NPI assigned
Jan 6, 2016
Last updated
Jan 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Authorized official

Name
Ghada Saqer, MDNPI 1548391485
Title
Physician
Phone
(832) 237-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

11037 FM 1960 Rd W Ste B2
Houston, TX 77065-3632

Mailing address

11037 FM 1960 Rd W Ste B2
Houston, TX 77065-3632
Phone (832) 234-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160504002288 TX Part B Supplier - Clinic/Group Practice 5294034765 Receives reassigned benefits from 6 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

11037 FM 1960 Rd W
Ste B2A
Houston, TX 77065
Phone (281) 208-7414

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1881050813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11037 FM 1960 RD W STE B2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653632",
            "telephone_number": "832-234-9400",
            "fax_number": "832-237-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11037 FM 1960 RD W STE B2",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653632",
            "telephone_number": "832-234-9400",
            "fax_number": "832-237-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G&A WELLNESS MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "SAQER",
        "authorized_official_first_name": "GHADA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-237-9400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "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 Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.