Spo Family Care Medical Clinic LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

J4168 Issued in TX

Legal business name

SPO FAMILY CARE MEDICAL CLINIC LLC

Practice address

14215 S Post Oak Rd
Houston, TX 77045-5233

Phone

(713) 433-4536

Fax

(713) 433-6708

NPI assigned

Jan 26, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Charles Ahaiwe

Title

Owner

Phone

(713) 562-3195

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1902101736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14215 S POST OAK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455233",
            "telephone_number": "713-433-4536",
            "fax_number": "713-433-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14215 S POST OAK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455233",
            "telephone_number": "713-433-4536",
            "fax_number": "713-433-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPO FAMILY CARE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "AHAIWE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-562-3195",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "J4168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel E Spivey, PT, DPT, OCS, MTC
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• Joseph Douglas Spooner, PA-C

• General Practice Physician in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.