RIVERSIDE GENERAL HOSPITAL MEDICAL CLINIC (NPI# 1316253628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316253628 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE GENERAL HOSPITAL MEDICAL CLINIC |
| Other Organization Name | RIVERSIDE GENERAL HOSPITAL |
| Practice Address |
3204 Ennis St Houston TX 77004-3213 |
| Practice Telephone | 7135262441 |
| Practice Fax Number | 7135263554 |
| Mailing Telephone | 7135262441 |
| Mailing Fax Number | 7135263554 |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |
| Authorized Official Name | EARNEST GIBSON III (PRESIDENT) |
| Authorized Official Telephone | 7135262441 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
460 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Riverside General Hospital | Doing Business As Name - Organization |
| Street Address |
3204 ENNIS ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77004-3213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518350297 | Polaris Health System, Inc. | Special Hospital | 3204 Ennis St, Houston, TX 77004-3213 | 2015-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081622 | University of Houston | Community Health Worker | 4649 Calhoun Rd, Ste 342, Houston, TX 77004 | 2020-01-03 |
| 1205487394 | Sharon B Robinson | Technician | 3405 Drew Apt. #1, Houston, TX 77004 | 2019-09-20 |
| 1386206209 | H-e-b, Lp | Clinical Medical Laboratory | 6055 South Freeway, Houston, TX 77004 | 2019-07-01 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1922541275 | Rita Assi | Student in an Organized Health Care Education/Training Program | 4407 Austin Street, Houston, TX 77004 | 2016-11-18 |
| 1396291001 | Yoon Jung Park | Nurse Practitioner | 1200 Binz St #1040, Houston, TX 77004 | 2016-09-01 |
| 1962869339 | Elite One Direct | Home Health | 3501 Chenevert, 24, Houston, TX 77004 | 2016-01-15 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1508109273 | Akwete Riley | Speech-Language Pathologist | 2712 Isabella, Houston, TX 77004 | 2013-04-01 |
| 1831437003 | Lonestar Dental Emergency Care, PC | Dentist | 5445 Almeda Rd, Ste. 300, Houston, TX 77004 | 2013-01-23 |
| Find all providers in zip 77004 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202800 | Devoted Medical Group of Texas, Inc. | Clinic/Center | 20405 State Highway 249 Ste 325, Houston, TX 77070-2893 | 2020-10-13 |
| 1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1053953851 | Dthealth, Pllc | Clinic/Center | 13218 Bellaire Blvd, Houston, TX 77083 | 2019-10-13 |
| 1376197186 | Comprehensive Health Center | Clinic/Center | 9910 Long Point Rd, Houston, TX 77055-4116 | 2019-07-30 |
| 1255984639 | Evolution Health & Wellness | Clinic/Center | 12841 Jones Rd Ste 250, Houston, TX 77070-4526 | 2019-07-24 |
| 1215404942 | Stephens Family Healthcare Inc | Clinic/Center | 2912a Mangum Rd, Houston, TX 77092-7408 | 2018-10-31 |
| 1265913057 | Tmp413llc | Clinic/Center | 601 S Wayside Dr # B, Houston, TX 77011-4603 | 2018-08-28 |
| 1649786427 | Medical Care Innovation, P.C. | Clinic/Center | 1254 Enclave Parkway, Houston, TX 77077 | 2017-12-16 |
| 1902311251 | Ethics Family Clinic | Clinic/Center | 6405 Antoine Dr Ste 7, Houston, TX 77091-1233 | 2017-12-08 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.