NPIMap

Organization Active NPI

Optum Clinic, PA

Doing business as Optum Clinic

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1902224363
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OPTUM CLINIC, PA
Doing business as
Optum Clinic
Practice address
13410 Briar Forest Dr
Suite 190
Houston, TX 77077-2391
Phone
(800) 645-9656
NPI assigned
Apr 2, 2014
Last updated
Apr 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. Julie C Nguyen, MD
Title
Owner
Phone
(281) 387-0749

Specialties & licenses 1

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

Addresses

Primary practice location

13410 Briar Forest Dr
Suite 190
Houston, TX 77077-2391

Mailing address

PO Box 692
Minneapolis, MN 55440-0692

Other names 1

  • Optum Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Optum Clinic PA9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1902224363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554400692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13410 BRIAR FOREST DR",
            "address_2": "SUITE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772391",
            "telephone_number": "800-645-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTUM CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-387-0749",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optum Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 2, 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.