Organization Active NPI

Vista Rejuvenation & Wellness Center LLC

  • Multi-Specialty Clinic/Center
  • Houston, TX
National Provider Identifier
1902504699
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
VISTA REJUVENATION & WELLNESS CENTER LLC
Practice address
11301 Richmond Ave Ste K109
Houston, TX 77082-5549
Phone
(832) 328-5350
NPI assigned
Feb 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Mr. Usman A Ligali
Title
Administrator/Manager
Phone
(832) 438-8943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

11301 Richmond Ave Ste K109
Houston, TX 77082-5549

Mailing address

11301 Richmond Ave Ste K109
Houston, TX 77082-5549
Phone (832) 328-5350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1902504699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 RICHMOND AVE STE K109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825549",
            "telephone_number": "832-328-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 RICHMOND AVE STE K109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770825549",
            "telephone_number": "832-328-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISTA REJUVENATION & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "LIGALI",
        "authorized_official_first_name": "USMAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR/MANAGER",
        "authorized_official_telephone_number": "832-438-8943",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "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 Feb 21, 2023; 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.