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BROADWAY MEDICAL CLINIC, P.A.
NPI 1295830990
Clinic/Center in Houston, TX

Active since September 14, 2006
3208 BROADWAY ST, HOUSTON, TX 77017(713) 641-5656(713) 641-5293 Get Directions Write a Review

NPPES record last updated: November 2, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Broadway Medical Clinic, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROADWAY MEDICAL CLINIC, P.A. (NPI 1295830990) is a healthcare organization registered as a clinic/center in Houston, Texas and active in the NPI registry since September 2006. The organization lists J. Felipe Nieto, President/medical Director, as its authorized official.

NPPES Registry Identity

NPI1295830990
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBROADWAY MEDICAL CLINIC, P.A.
Location Address3208 BROADWAY STHouston, TX 77017-2321
Mailing Address3208 Broadway StHouston, TX 77017-2321 · (713) 641-5656 · Fax (713) 641-5293
Phone(713) 641-5656
Fax(713) 641-5293
Organization SubpartNo
Authorized OfficialJ. Felipe NietoPresident/medical Director · (713) 641-5656
Enumeration DateSeptember 14, 2006
Last NPPES UpdateNovember 2, 2010
✔ NPI 1295830990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in TX · F7365
Definition

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).

3208 BROADWAY ST, Houston, TX 77017
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Other Identifiers 10

Medicaid133829501TX
Medicare ID-Type Unspecified00U92MTX
Other000000U92MTX · Bc Bs
Other900013387001TX · Aps Healthcare
Other10004520TX · Amerigroup
Medicare ID-Type Unspecified260052143TX · Palmetto Gba- Rr Medicare
Other10020679TX · Amerigroup
Medicare UPIND67025TX
Medicaid092059702TX
Medicaid092059701TX

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLINICA FAMILIAR NUEVO BUEN PASTOR
Family Medicine
3208 BROADWAY ST
HOUSTON, TX 77017
Harris County (713) 393-7337
NSUELA ROSY MUKANA M.D.
Family Medicine
3208 BROADWAY ST
HOUSTON, TX 77017
Harris County (713) 928-2774
A CHANCE UNA OPORTUNIDAD
Day Training, Developmentally Disabled Services
3208 BROADWAY ST
HOUSTON, TX 77017
Harris County (832) 720-8314
J.F. NIETO, M.D., P.A.
Clinic/Center (Mental Health (Including Community Mental Health Center))
3208 BROADWAY ST
HOUSTON, TX 77017
Harris County (713) 641-5656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broadway Medical Clinic, P.A.'s NPI number?

The NPI number for Broadway Medical Clinic, P.A. is 1295830990. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Broadway Medical Clinic, P.A. located?

Broadway Medical Clinic, P.A. is located at 3208 Broadway St, Houston, TX 77017. The listed phone number is (713) 641-5656.

What is Broadway Medical Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Broadway Medical Clinic, P.A. was last updated on November 2, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.