La Providence Pediatric and Family Clinics II

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LA PROVIDENCE PEDIATRIC AND FAMILY CLINICS II

Practice address

2407 Highway 6 S
Houston, TX 77077-5231

Phone

(713) 909-3139

NPI assigned

Dec 24, 2020

Organization subpart

No

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

Authorized official

Name

Ifeyinwa Onwudiwe, MD

Title

Ceo

Phone

(832) 674-0459

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1942897921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 HIGHWAY 6 S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 HIGHWAY 6 S",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770775231",
            "telephone_number": "713-909-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PROVIDENCE PEDIATRIC AND FAMILY CLINICS II",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-24",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "ONWUDIWE",
        "authorized_official_first_name": "IFEYINWA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-674-0459",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 May 15, 2023; 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.