SAN JOSE CLINIC (NPI# 1750674321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750674321 |
| Entity Type | Organization |
| Organization Name | SAN JOSE CLINIC |
| Practice Address |
2615 Fannin St Houston TX 77002-9224 |
| Practice Telephone | 7132289411 |
| Practice Fax Number | 7132282612 |
| Mailing Telephone | 7132289411 |
| Mailing Fax Number | 7132282612 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |
| Authorized Official Name | MRS. PAULE ANNE LEWIS (CEO) |
| Authorized Official Telephone | 7134902601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Street Address |
2615 FANNIN ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77002-9224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285661587 | Raphael Kok Chin Chan | Otolaryngology | 2615 Fannin St, Houston, TX 77002-9224 | 2006-06-26 |
| 1235755059 | Adlia Ebeid | Pharmacist | 2615 Fannin St, Houston, TX 77002-9224 | 2020-06-17 |
| 1023650249 | Randall Flores | Pharmacist | 2615 Fannin St, Houston, TX 77002-9224 | 2019-10-09 |
| 1780238881 | Portia Davis | Pharmacist | 2615 Fannin St, Houston, TX 77002-9224 | 2019-07-26 |
| 1013490648 | Mariela Guzman | Counselor | 2615 Fannin St, Houston, TX 77002-9224 | 2018-09-10 |
| 1952756108 | Elizabeth Barrera-sepulveda | Counselor | 2615 Fannin St, Houston, TX 77002-9224 | 2016-04-25 |
| 1790196426 | Susana Rebeca Zambrano | Marriage & Family Therapist | 2615 Fannin St, Houston, TX 77002-9224 | 2014-05-15 |
| 1972914679 | Catholic Charities | Community/Behavioral Health | 2615 Fannin St, Houston, TX 77002-9224 | 2014-05-15 |
| 1902995665 | Norman Alan Shoenfeld | Surgery | 2615 Fannin St, Houston, TX 77002-9224 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1578182226 | Quinn Adams Rhodes | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy, Susan K. Strake Building, 1st Floor, Sks1106a, Houston, TX 77002 | 2020-04-13 |
| 1508420563 | Ines Tamzali | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy. Susan K. Strake Building, 1st F, Sks1106a, Houston, TX 77002 | 2019-04-25 |
| 1487163093 | Mary Janella Blakey | Home Health | 500 Crawford St. Apt 344, Houston, TX 77002 | 2017-09-26 |
| 1306365374 | Vanability, LLC | Non-emergency Medical Transport (VAN) | 700 Louisiana St. Suite 3950, Houston, TX 77002 | 2017-09-11 |
| 1720518509 | Cara Adele Hankins | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Parkway Sks1106a, Houston, TX 77002 | 2017-06-14 |
| 1518414044 | Wellness Pain & Associates Inc | Clinic/Center | 2000 Crawford Ste1600, Houston, TX 77002 | 2016-09-01 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1659740165 | Mark Dickason Reimer | Family Medicine | 333 Clay Street, Three Allen Center, 5th Floor, Aramco Services Company Medical Clinic, Attn Dr. Reimer, Houston, TX 77002 | 2015-09-15 |
| 1588043053 | Monique Lacole Lee | Chiropractor | 1315 St Joseph Pkwy Ste 1010, Houston, TX 77002 | 2015-05-29 |
| Find all providers in zip 77002 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790397834 | Gloria Kelly | Clinic/Center | 13818 Dentwood Dr, Houston, TX 77014-2665 | 2020-08-19 |
| 1992340822 | Haven of Memorable Experiences Inc | Clinic/Center | 5536 Tremper St, Houston, TX 77020-4747 | 2019-11-14 |
| 1154975449 | The Wellness Loft, LLC | Clinic/Center | 13960 Hillcroft St Apt 1014, Houston, TX 77085-1514 | 2019-07-25 |
| 1396303574 | At Home Lymphatic Wellness | Clinic/Center | 9898 Bissonnet St Ste 665, Houston, TX 77036 | 2019-06-03 |
| 1225518418 | Carita Davis-dobbins | Clinic/Center | 8775 Othello St, Houston, TX 77029-3353 | 2018-08-16 |
| 1134611072 | Complete Care Mobile Clinic LLC | Clinic/Center | 9894 Bissonnet St Ste 493, Houston, TX 77036-8243 | 2018-06-06 |
| 1124520960 | Complete Plus Healthcare Inc | Clinic/Center | 6235 Laura Koppe Rd Ste B, Houston, TX 77016 | 2018-03-07 |
| 1801340542 | Praetorian Rx LLC | Clinic/Center | 1880 S Dairy Ashford Rd, Suite 106, Houston, TX 77077-4760 | 2016-08-11 |
| 1114470929 | Better Day Healthcare Associates Inc | Clinic/Center | 1930 Airport Boulevard, Houston, TX 77051-0000 | 2016-07-27 |
| 1780042226 | Graves Community Health Clinic | Clinic/Center | 6910 Chetwood Dr. Ste. B, Houston, TX 77081 | 2016-01-28 |
| 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.