Organization Active NPI

Tidwell Hospitalist Services, PA

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1962638551
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TIDWELL HOSPITALIST SERVICES, PA
Practice address
17030 Nanes Dr Ste 106
Houston, TX 77090-2531
Phone
(281) 893-8100
Fax
(281) 840-6892
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Ms. Grace Garcia
Title
Business Manager
Phone
(713) 991-0930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

17030 Nanes Dr Ste 106
Houston, TX 77090-2531

Mailing address

PO Box 1218
Bellaire, TX 77402-1218
Phone (281) 893-8100

Other identifiers 1

IdentifierTypeStateIssuer
L8271OtherTXMD LICENSE

National Provider Directory

National Provider Directory

Locations

17030 Nanes Dr
Ste 106
Houston, TX 77090

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1962638551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1218",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774021218",
            "telephone_number": "281-893-8100",
            "fax_number": "281-840-6892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17030 NANES DR STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902531",
            "telephone_number": "281-893-8100",
            "fax_number": "281-840-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDWELL HOSPITALIST SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "713-991-0930",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "L8271",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; 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.