Imu Southwest, the Immunization Clinic

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

554041 Issued in TX

Legal business name

IMU SOUTHWEST, THE IMMUNIZATION CLINIC

Practice address

3727 Greenbriar Dr
Suite 403
Stafford, TX 77477-3954

Phone

(281) 313-7468

Fax

(281) 313-7470

NPI assigned

Nov 21, 2006

Last updated

Apr 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

V Yvette Cheeks, RN

Title

Director

Phone

(281) 313-7468

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Vernell Yvette Cheeks, RN,MSN

  • Administrator Registered Nurse
  • Missouri City, TX
  • NPI 1972178895
  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1902971591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 GREENBRIAR DR",
            "address_2": "SUITE 403",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773954",
            "telephone_number": "281-313-7468",
            "fax_number": "281-313-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 GREENBRIAR DR",
            "address_2": "SUITE 403",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773954",
            "telephone_number": "281-313-7468",
            "fax_number": "281-313-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMU SOUTHWEST, THE IMMUNIZATION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "CHEEKS",
        "authorized_official_first_name": "V",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-313-7468",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "554041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nkemdilim Uchenna Ifemedebe, RN
• Joshua Ihek
• Sylvia Ike
• Injila Imam
• Immediate Ride
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• Inter Active Healthcare Inc
• Interactive Health Care Inc
• Interactive Hospice and Palliative Care Inc
• Invictus Counseling & Consulting PLLC

• Registered Nurse in Stafford, TX
• Providers in Stafford, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.