KCJZ LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KCJZ LLC

Practice address

8443 Airline Dr
Suite B
Houston, TX 77037-3213

Phone

(832) 379-2900

Fax

(832) 379-2920

NPI assigned

Dec 18, 2009

Organization subpart

No

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

Authorized official

Name

Miss Karla Ivonne Cervantes

Title

Administrator

Phone

(832) 379-2900

Specialties & licenses 3

Addresses

Other names 1

• La Michoacana Medical Clinic Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1972832053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8443 AIRLINE DR",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770373213",
            "telephone_number": "832-379-2900",
            "fax_number": "832-379-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8443 AIRLINE DR",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770373213",
            "telephone_number": "832-379-2900",
            "fax_number": "832-379-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KCJZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "CERVANTES",
        "authorized_official_first_name": "KARLA",
        "authorized_official_middle_name": "IVONNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-379-2900",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Michoacana Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• KC Healthcare & Rehabilitation
• KC Healthcare Services, Inc
• KC Pharmacy
• KC Smiles Dental Management, LLC
• Kci USA, Inc.
• KD Care LLC
• KDM Transit Group
• Kdove Foundation
• KDP Health Care Services
• KDT, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.