NPIMap

Organization Active NPI

Genesis Physician Alliance, Inc

  • General Practice Physician
  • Katy, TX
National Provider Identifier
1891163366
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GENESIS PHYSICIAN ALLIANCE, INC
Practice address
2717 Commercial Center Blvd Ste E200
Katy, TX 77494-6410
Phone
(832) 712-5904
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Fran McShan
Title
Credentialing
Phone
(832) 913-5032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

2717 Commercial Center Blvd Ste E200
Katy, TX 77494-6410

Mailing address

2717 Commercial Center Blvd Ste E200
Katy, TX 77494-6410
Phone (832) 712-5904

National Provider Directory

National Provider Directory
Tax ID family
Metro Nashville Public Health Dept103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 8

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1891163366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 COMMERCIAL CENTER BLVD STE E200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946410",
            "telephone_number": "832-712-5904",
            "fax_number": "832-913-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 COMMERCIAL CENTER BLVD STE E200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946410",
            "telephone_number": "832-712-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PHYSICIAN ALLIANCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "MCSHAN",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "832-913-5032"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.