Organization · NPI-2

180 Medical Clinic INC

Clinic/Center, Health Services · Houston, TX

NPI number1437837556

StatusActive

Last updated in NPPESJul 10, 2023

Details

NPI: 1437837556
Entity type: Organization (NPI-2)
Legal business name: 180 Medical Clinic INC
Organization subpart: No
Enumeration date: Jul 10, 2023
Certification date: Jul 8, 2023
Last updated: Jul 10, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QH0100X	Clinic/Center, Health Services	–	–	Yes
251K00000X	Public Health or Welfare	–	–
332BX2000X	Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	–	–
332S00000X	Hearing Aid Equipment	–	–
251V00000X	Voluntary or Charitable	–	–
261Q00000X	Clinic/Center	–	–
261QF0050X	Clinic/Center, Family Planning, Non-Surgical	–	–
261QM1100X	Clinic/Center, MilitaryU.S. Coast Guard Outpatient	–	–
261QP2300X	Clinic/Center, Primary Care	–	–
261QP2400X	Clinic/Center, Prison Health	–	–
332900000X	Non-Pharmacy Dispensing Site	–	–
332BC3200X	Durable Medical Equipment & Medical Supplies, Customized Equipment	–	–
332BD1200X	Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies	–	–
332BN1400X	Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies	–	–
332BP3500X	Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	–	–

Other names

180 Medical Clinic INC (Former Legal Business Name)

Practice location

2580 Fm 1960 Rd W Ste D
Houston, TX 77068-3706

Phone 281-919-1476 · Fax 877-288-1193

Mailing address

2580 Fm 1960 Rd W Ste D
Houston, TX 77068-3706

Phone 281-919-1476 · Fax 877-288-1193

Authorized official

Viraf Cooper
Medical Director
2819191476

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