NPIMap

Organization Active NPI

Injury Specialist Associates, P.a.

Doing business as Injury Center of Houston

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1912037631
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L0617 Issued in TX
Legal business name
INJURY SPECIALIST ASSOCIATES, P.A.
Doing business as
Injury Center of Houston
Practice address
8200 Wednesbury LN Ste 210
Houston, TX 77074-2931
Phone
(713) 771-2225
Fax
(713) 771-1876
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Mrs. Angie Michelle Raymond
Title
Office Manager
Phone
(713) 771-2225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NX0100X F006098 TX
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X L0617 TX Primary

Addresses

Primary practice location

8200 Wednesbury LN Ste 210
Houston, TX 77074-2931

Mailing address

8200 Wednesbury LN Ste 210
Houston, TX 77074-2931
Phone (713) 771-2225

Other identifiers 1

IdentifierTypeStateIssuer
0017LHOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Injury Center of Houston Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1912037631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 WEDNESBURY LN STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742931",
            "telephone_number": "713-771-2225",
            "fax_number": "713-771-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 WEDNESBURY LN STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742931",
            "telephone_number": "713-771-2225",
            "fax_number": "713-771-1876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY SPECIALIST ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-771-2225",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "F006098",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L0617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0017LH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Injury Center of Houston",
            "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 25, 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.