Integrity Medical Supply Etc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

3504-3505 Issued in TX

Legal business name

INTEGRITY MEDICAL SUPPLY ETC

Practice address

6300 Hillcroft St
200
Houston, TX 77081-3006

Phone

(713) 278-8870

Fax

(713) 278-9711

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Miss Assumpta Sunday Etukudo, LPC-I

Title

Ceo

Phone

(713) 278-8870

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• INNER DOOR COUNSELING & REHABILITATION CENTER Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beverly Shaw Mack, LBSW

  • Case Manager/Care Coordinator
  • Houston, TX
  • NPI 1003101817
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1962548602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741226",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772741226",
            "telephone_number": "832-563-5889",
            "fax_number": "281-575-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 HILLCROFT ST",
            "address_2": "200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770813006",
            "telephone_number": "713-278-8870",
            "fax_number": "713-278-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRITY MEDICAL SUPPLY ETC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "ETUKUDO",
        "authorized_official_first_name": "ASSUMPTA",
        "authorized_official_middle_name": "SUNDAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-278-8870",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC-I"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": "3504-3505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175737901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INNER DOOR COUNSELING & REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrity Health
• Integrity Healthcare Staffing PLLC
• Integrity Healthcare Supports
• Integrity Inpatient Associates
• Integrity Medical Supply Etc
• Integrity Medical Transportation
• Integrity Physician Networks Inc.
• Intel Health Services Inc
• Intel Medical Supply LLC
• Intensivist Medicine Services of TX, PLLC

• Multi-Specialty Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.