My Urban Clinic, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MY URBAN CLINIC, INC

Doing business as

My Clinic

Practice address

8200 Sr 366
Russell Point, OH 43348

Phone

(937) 843-3058

Fax

(937) 843-3075

NPI assigned

Oct 9, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Toney E Means

Title

President

Phone

(713) 278-8710

Specialties & licenses 1

Addresses

Other names 1

• My Clinic Doing business as

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932397411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421472",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772421472",
            "telephone_number": "713-278-8710",
            "fax_number": "713-278-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 SR 366",
            "city": "RUSSELL POINT",
            "state": "OH",
            "postal_code": "43348",
            "telephone_number": "937-843-3058",
            "fax_number": "937-843-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY URBAN CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEANS",
        "authorized_official_first_name": "TONEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-278-8710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.