SUNCOAST MEDICAL GROUP INC


Address: 8314 Southwest Fwy, Houston, TX 77074-1603
Phone: 7135410095

SUNCOAST MEDICAL GROUP INC (NPI# 1376810341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376810341
Entity Type Organization
Organization Name SUNCOAST MEDICAL GROUP INC
Other Organization Name SUNCOAST MEDICAL CARE
Practice Address 8314 Southwest Fwy
Houston
TX 77074-1603
Practice Telephone 7135410095
Mailing Telephone 7135410095
Enumeration Date 2011-11-19
Last Update Date 2016-02-24
Authorized Official Name ONYINYE AGIM (PHYSICIAN / OWNER)
Authorized Official Telephone 7135410095
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
N2360 TX Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 3074858 05

Other Provider/Organization Names

Other Name Type Code
SunCoast Medical Care Other Name - Individual/Organization

Office Location

Street Address 8314 SOUTHWEST FWY
City HOUSTON
State TX
Zip Code 77074-1603

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912084120 Anayo G Mbadugha Physician Assistant 8314 Southwest Fwy, Houston, TX 77074-1603 2006-11-01
1518121532 Onyinye A Agim Internal Medicine 8314 Southwest Fwy, Houston, TX 77074-1603 2008-07-18

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City HOUSTON
Zip Code 77074

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Dataset Information

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.

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