East Houston Medicine & Pediatrics Clinic Pa

LBN: East Houston Medicine & Pediatrics Clinic Pa
East Houston Medicine & Pediatrics Clinic Pa is an health care organization with primary practice located at 902 Normandy St Ste 100, Houston TX 77015-4952. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is the primary health care specialty. East Houston Medicine & Pediatrics Clinic Pa can be contacted via phone (713) 450-4455, or through Wilson, Cornelius Antoinne via phone (713) 450-4455.

Contact Information

Primary practice address
902 Normandy St Ste 100 Houston TX 77015-4952
Phone: (713) 450-4455
Fax: (713) 450-4737
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Cornelius Antoinne Doctor of Medicine (MD)
Phone: (713) 450-4455

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X J2845 Texas

Profile Details

NPI number 1083686091
LBN Legal business name East Houston Medicine & Pediatrics Clinic Pa
DBA Doing business as
Authorized official Wilson, Cornelius Antoinne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 20th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083686091 NPPES
Texas Other 0081QD BLUE CROSS
Texas Other 00L66J BLUE CROSS
Texas MEDICAID 184593501 BLUE CROSS
Texas Other 45D1000292 BLUE CROSS
Texas MEDICAID 184593502 BLUE CROSS

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