STEDICLINIC PLLC – NPI #1659746675
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

STEDICLINIC PLLC is an AHC clinic located in HOUSTON, TX. NPPES has assigned the NPI number 1659746675 to STEDICLINIC PLLC on December 02, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 8 years ago on Jun 26, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for STEDICLINIC PLLC below.

NPI Profile for
STEDICLINIC PLLC

NPI Number
1659746675
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STEDICLINIC PLLC
Primary location
4560 FM 1960 RD W STE 106
HOUSTON, TX 77069
Phone: (832) 286-1061 Fax: (832) 286-1267
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
OLAYINKA AGBODO
FAMILY NURSE PRACTITIONER
Phone: (832) 745-8742
Updated
Identifiers

Identifiers for STEDICLINIC PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDTX1659746675
MEDICAIDTX3604894
MEDICAIDTX358389004
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 TX
363LF0000X
- Nurse Practitioner / Family		 TX AP128483

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.