Boston Medical Group - Texas, P.a.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

BOSTON MEDICAL GROUP - TEXAS, P.A.

Practice address

1776 Yorktown St Ste 110
Houston, TX 77056-4138

Phone

(713) 439-0229

Fax

(713) 439-0267

NPI assigned

Mar 25, 2014

Organization subpart

No

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

Authorized official

Name

Joan Simpson

Title

Director

Phone

(615) 562-4048

Specialties & licenses 1

Addresses

Tax ID family

Boston Medical Group - Texas PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Boston Medical Group - Texas, P.a.

  • Urology Physician
  • Dallas, TX
  • NPI 1750708061
  NPD tax ID

Locations

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1922425230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 YORKTOWN ST STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770564138",
            "telephone_number": "713-439-0229",
            "fax_number": "713-439-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 YORKTOWN ST STE 110",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770564138",
            "telephone_number": "713-439-0229",
            "fax_number": "713-439-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL GROUP - TEXAS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-562-4048"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rachael Elise Bostick-Mayweather
• Jody Bostick, LMSW
• Rosie M Bostick, PHD
• Boston Scientific Cardiac Diagnostic Services, LLC
• Carlos Rodquae Boston, DDS, PT
• Cheline Boston
• Nicole Dawn Boston
• Quinetta Boston

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.