DEDICATED SENIOR MEDICAL CENTER SOUTH UNION - NPI 1346832961

Q: What is the provider's specialty?

The provider's specialty is Pharmacy with taxonomy code 333600000X.

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About Dedicated Senior Medical Center South Union NPPES

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

DEDICATED SENIOR MEDICAL CENTER SOUTH UNION (NPI 1346832961) is a healthcare organization registered as a pharmacy in Houston, Texas and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Mary Chen, Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1346832961

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameDEDICATED PHYSICIANS GROUP OF TEXAS, PLLC

Location Address4423 GRIGGS RDHouston, TX 77021-2815

Mailing Address1395 Nw 167th StMiami Gardens, FL 33169-5710 · (305) 628-6117

Phone(713) 429-0655

Organization SubpartYes

Authorized OfficialMary ChenExecutive Officer · (305) 628-6117

Enumeration DateFebruary 4, 2021

Last NPPES UpdateMarch 24, 20212 updates tracked since enumeration

NPPES CertifiedMarch 24, 2021

✔ NPI 1346832961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X

4423 GRIGGS RD, Houston, TX 77021

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Other Names 1

Doing Business AsDedicated Senior Medical Center South Union

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2228328

Dedicated Senior Medical Center-South Union · Houston, TX

Active · expires Jun 23, 2027

CLIA Number45D2228328

Laboratory TypePhysician Office

Certificate Effective DateJune 24, 2025

Certificate Expiration DateJune 23, 2027

Laboratory DirectorGordon Chen

Laboratory Phone(305) 842-3910

Laboratory LocationDedicated Senior Medical Center-South Union4423 Griggs Road, Houston, TX 77021

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

PATRICE LATIMER MD

Family Medicine