La Providence Pediatric and Family Clinics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

N1405 Issued in TX

Legal business name

LA PROVIDENCE PEDIATRIC AND FAMILY CLINICS

Practice address

9900 S Gessner Rd
Houston, TX 77071-1008

Phone

(713) 981-6002

Fax

(713) 909-6002

NPI assigned

Sep 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ifeyinwa Onwudiwe, MD

Title

Owner

Phone

(713) 981-6002

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

West Bellfort Pediatric Clinics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• West Bellfort Pediatric Clinics, Inc.

  • Pediatrics Physician
  • Houston, TX
  • NPI 1497048839
  NPD tax ID
• West Bellfort Pediatric Clinics, Inc.

  • Primary Care Clinic/Center
  • Houston, TX
  • NPI 1730450669
  NPD tax ID

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1922400043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 S GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770711008",
            "telephone_number": "713-981-6002",
            "fax_number": "713-909-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 S GESSNER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770711008",
            "telephone_number": "713-981-6002",
            "fax_number": "713-909-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PROVIDENCE PEDIATRIC AND FAMILY CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "ONWUDIWE",
        "authorized_official_first_name": "IFEYINWA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-981-6002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N1405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Michoacana Dental Clinic LLC
• La Michoacana Dental Clinic#3 LLC
• La Nueva Casa de Amigos
• La Providence Medical Center
• La Providence Medical Center
• La Providence Pediatric and Family Clinics II
• La RX
• La Salud Clinic Medical Association
• La Shaun Arzu PLLC
• La Sofi, LLC

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.