Medagene Clinic , P.A.
LBN: Medagene Clinic , P.A.
Medagene Clinic , P.A. is an health care organization with primary practice located at 6655 Hillcroft St Suite 105, Houston TX 77081-4815. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Medagene Clinic , P.A. can be contacted via phone (713) 779-1633, or through Uribebotero, Gonzalo via phone (713) 779-1633.
Contact Information
Primary practice address
6655 Hillcroft St Suite 105
Houston TX 77081-4815
Phone: (713) 779-1633
Fax: (713) 995-5914
Website:
Authorized official contact:
Name: Uribebotero, Gonzalo Doctor of Medicine (MD)
Phone: (713) 779-1633
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E1956 | Texas |
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | E1956 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E1956 | Texas |
Profile Details
| NPI number | 1437194685 |
|---|---|
| LBN Legal business name | Medagene Clinic , P.A. |
| DBA Doing business as | Medagene Clinic , P.A. |
| Authorized official | Uribebotero, Gonzalo Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Aug 5th, 2013 - about 11 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 | 1437194685 | NPPES |
| Texas | MEDICAID | 137927302 | |
| Texas | Other | 45D0965514 |
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