Organization Active NPI

Med Cure Clinic LLC

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1912517426
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MED CURE CLINIC LLC
Practice address
6237 Highway 6 S Ste C
Houston, TX 77083-1681
Phone
(832) 400-2048
Fax
(832) 400-2049
NPI assigned
Aug 10, 2020
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Deborah Yisa, FNP-BCNPI 1033604111
Title
Director
Phone
(346) 220-3534

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary
Ambulatory Family Planning Facility 261QA0005X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU

Addresses

Primary practice location

6237 Highway 6 S Ste C
Houston, TX 77083-1681

Mailing address

6237 Highway 6 S Ste C
Houston, TX 77083-1681
Phone (832) 400-2048

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210113001407 TX Part B Supplier - Clinic/Group Practice 5092128926 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

12703 Alief Clodine Rd
Ste 103
Houston, TX 77082
Phone (281) 902-2296

6237 Highway 6 S
Ste C
Houston, TX 77083
Phone (832) 400-2048

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1912517426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6237 HIGHWAY 6 S STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831681",
            "telephone_number": "832-400-2048",
            "fax_number": "832-400-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6237 HIGHWAY 6 S STE C",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770831681",
            "telephone_number": "832-400-2048",
            "fax_number": "832-400-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CURE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "YISA",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "346-220-3534",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.