Center Medical Clinic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

E4534 Issued in TX

Legal business name

CENTER MEDICAL CLINIC

Practice address

2106 Center St
Deer Park, TX 77536-4164

Phone

(281) 476-4266

Fax

(281) 476-4278

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Robert W Moers, M.D.

Title

Medical Provider

Phone

(281) 476-4266

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1912192154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 CENTER ST",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775364164",
            "telephone_number": "281-476-4266",
            "fax_number": "281-476-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 CENTER ST",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775364164",
            "telephone_number": "281-476-4266",
            "fax_number": "281-476-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "MOERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "281-476-4266",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "E4534",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "TX",
            "license": "E4534",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher D Casebolt, MSN, FNP-BC, FNP-C
• Jessica Casteel, LPC
• Sarah V Celestino, FNP-C
• Cenikor Foundation
• Cenikor Foundation
• Center Street DP Medical Center LLC
• Jennifer Cervantes, LCSW
• Madelyn Chambers, LCDCI
• Blair Lyanne Chandler, FNP-C
• Charles W Allen Mdpa

• Medical Specialty Clinic/Center in Deer Park, TX
• Providers in Deer Park, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.