NPI 1962805036 · live from the CMS NPI Registry
1st Medcare Clinic
Family Medicine in Baytown, TX. National Provider Identifier 1962805036, active.
NPI record
| NPI | 1962805036 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2306 N Alexander Dr, Baytown, TX 77520 |
| Practice phone | 832-877-3380 |
| Mailing address | Po Box 505, Bellaire, TX 77402 |
| Enumerated | October 3, 2014 |
| Last updated | October 3, 2014 |
| Authorized official | Ben Kodae, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | — |
| Dietary Manager | 132700000X | — |
| Orthopaedic Surgery, Sports Medicine | 207XX0005X | — |
| Physical Therapist | 225100000X | — |
| Massage Therapist | 225700000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.