CENTRUM MEDICAL HOLDINGS OF TEXAS, LLC – NPI #1942976360
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

CENTRUM MEDICAL HOLDINGS OF TEXAS, LLC is a provider located in KATY, TX. NPPES has assigned the NPI number 1942976360 to CENTRUM MEDICAL HOLDINGS OF TEXAS, LLC on August 17, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 CENTRUM MEDICAL HOLDINGS OF TEXAS, LLC below.

NPI Profile for
CENTRUM MEDICAL HOLDINGS OF TEXAS, LLC

NPI Number
1942976360
Enumeration Date

(about 5 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
CENTRUM MEDICAL HOLDINGS OF TEXAS, LLC
Primary location
1463 S MASON RD
KATY, TX 77450-4568
Phone: (305) 266-2929 Fax: (786) 558-0242
Mailing address
5730 SW 74TH ST STE 200
SOUTH MIAMI, FL 33143-5300
Phone: (305) 266-2929 Fax: (786) 558-0242
Organization Subpart
No
Authorized Official
GRACIELA VICTORERO
COO
Phone: (305) 266-2929
Updated
Certification Date
Aug 17, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
208D00000X
- General Practice (Primary)

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.