Organization Active NPI

Gary Horndeski MD PA

  • Specialist
  • Sugar Land, TX
National Provider Identifier
1881871143
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G2390 Issued in TX
Legal business name
GARY HORNDESKI MD PA
Practice address
14887 Southwest Fwy
Sugar Land, TX 77478-5016
Phone
(281) 565-8099
Fax
(281) 565-9637
NPI assigned
Jan 29, 2008
Last updated
Apr 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Gary Horndeski, MDNPI 1851484653
Title
Officer
Phone
(281) 565-8099

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G2390 TX Primary

Addresses

Primary practice location

14887 Southwest Fwy
Sugar Land, TX 77478-5016

Mailing address

14887 Southwest Fwy
Sugar Land, TX 77478-5016
Phone (281) 565-8099

Other identifiers 5

IdentifierTypeStateIssuer
098249804MedicaidTX
0982498-01MedicaidTX
164454401MedicaidTX
170001501MedicaidTX
098249803MedicaidTX

National Provider Directory

National Provider Directory

Locations

201 Oak Dr S
Ste 204
Lake Jackson, TX 77566
Phone (979) 266-9048

14887 Southwest Fwy
Sugar Land, TX 77478
Phone (281) 565-8099

Practitioners & affiliated clinicians

Practitioners 2

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": "1201564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1881871143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14887 SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785016",
            "telephone_number": "281-565-8099",
            "fax_number": "281-565-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14887 SOUTHWEST FWY",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785016",
            "telephone_number": "281-565-8099",
            "fax_number": "281-565-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY HORNDESKI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-29",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "HORNDESKI",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "281-565-8099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G2390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098249804",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0982498-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164454401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170001501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098249803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.