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:
Authorized official contact:
Name: Wilson, Cornelius Antoinne Doctor of Medicine (MD)
Phone: (713) 450-4455
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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