Medagene Clinic PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

E1956 Issued in TX

Legal business name

MEDAGENE CLINIC PA

Practice address

5373 W Alabama St Houston, TX 77056
Bellaire, TX 77056

Phone

(713) 779-1633

NPI assigned

Jul 25, 2011

Last updated

Apr 30, 2026By 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. Gonzalo Uribe-Botero, M.D.NPI 1023052164

Title

Owner

Phone

(713) 779-1633

Specialties & licenses 1

Addresses

Tax ID family

Medagene Clinic 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.

• Medagene Clinic , P.a.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1437194685
  NPD tax ID

Locations

Practitioners 1

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.

• Gonzalo Uribebotero, MD

  • Family Medicine Physician
  • Houston, TX
  • NPI 1023052164

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1932487949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6575 WEST LOOP S",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013521",
            "telephone_number": "713-779-1633",
            "fax_number": "713-995-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5373 W ALABAMA ST HOUSTON, TX 77056",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77056",
            "telephone_number": "713-779-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDAGENE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "URIBE-BOTERO",
        "authorized_official_first_name": "GONZALO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-779-1633",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "E1956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine McQueen, MD
• Nicholas McRae
• Celeste F Mead, OT
• Lori Ann Meadors, PA-C
• Jennifer Mebane, S.L.P.
• Medcheck TDM, LLC
• Medical Center Surgical Shop
• Medical Clinic of Bellaire PA
• Medical Telepresence PA
• Medimetro, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.