Organization Active NPI

Robert Prangle Dopa

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1972766012
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
D97636 Issued in TX
Legal business name
ROBERT PRANGLE DOPA
Practice address
13310 Beamer Rd
Suite G
Houston, TX 77089-6045
Phone
(281) 481-4111
Fax
(281) 481-0111
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Robert E Prangle, DO
Title
Owner
Phone
(281) 481-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X D97636 TX Primary

Addresses

Primary practice location

13310 Beamer Rd
Suite G
Houston, TX 77089-6045

Mailing address

13310 Beamer Rd
Suite G
Houston, TX 77089-6045
Phone (281) 481-4111

Other identifiers 2

IdentifierTypeStateIssuer
00M971OtherTXBLUE CROSS BLUE SHIELD
390365OtherTXWELLCARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1972766012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13310 BEAMER RD",
            "address_2": "SUITE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896045",
            "telephone_number": "281-481-4111",
            "fax_number": "281-481-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13310 BEAMER RD",
            "address_2": "SUITE G",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896045",
            "telephone_number": "281-481-4111",
            "fax_number": "281-481-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT PRANGLE DOPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "PRANGLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-481-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "D97636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00M971",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "390365",
            "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 Jul 9, 2008; 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.