NPIMap

Organization Active NPI

Intrust Medical

  • General Practice Physician
  • Houston, TX
National Provider Identifier
1912461344
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
INTRUST MEDICAL
Doing business as
InTrust Medical
Practice address
8240 Antoine Dr Ste 100
Houston, TX 77088-2534
Phone
(346) 907-5799
Fax
(346) 907-5644
NPI assigned
Jan 30, 2019
Last updated
Mar 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Authorized official

Name
Genia Moore
Title
Practice Manager
Phone
(346) 907-5799

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

8240 Antoine Dr Ste 100
Houston, TX 77088-2534

Mailing address

8240 Antoine Dr Ste 100
Houston, TX 77088-2534
Phone (346) 907-5799

Other names 1

  • InTrust Medical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1912461344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 ANTOINE DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770882534",
            "telephone_number": "346-907-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 ANTOINE DR STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770882534",
            "telephone_number": "346-907-5799",
            "fax_number": "346-907-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRUST MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GENIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "346-907-5799"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InTrust Medical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "InTrust Medical",
            "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 Mar 15, 2019; 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.