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STEDICLINIC PLLC
NPI 1659746675
Clinic/Center in Houston, TX

Active since December 02, 2015
4560 FM 1960 RD W STE 106, HOUSTON, TX 77069(832) 286-1061(832) 286-1267 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 26, 2018, Jan 24, 2016, Dec 2, 2015 (3 updates tracked since 2015).

About Stediclinic Pllc NPPES

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

STEDICLINIC PLLC (NPI 1659746675) is a healthcare organization registered as a clinic/center in Houston, Texas and active in the NPI registry since December 2015. The organization lists Olayinka Agbodo, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1659746675
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSTEDICLINIC PLLC
Location Address4560 FM 1960 RD W STE 106Houston, TX 77069
Mailing Address4560 Fm 1960 Rd W Ste 106Houston, TX 77069-4628 · (832) 286-1061 · Fax (832) 286-1267
Phone(832) 286-1061
Fax(832) 286-1267
Organization SubpartNo
Authorized OfficialOlayinka AgbodoFamily Nurse Practitioner · (832) 745-8742
Enumeration DateDecember 2, 2015
Last NPPES UpdateJune 26, 20183 updates tracked since enumeration
✔ NPI 1659746675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
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).
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP128483 (TX), AP130092 (TX)
4560 FM 1960 RD W STE 106, Houston, TX 77069
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Other Identifiers 3

Medicaid358389004TX
Medicaid1659746675TX
Medicaid3604894TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 Stediclinic PLLC's NPI number?

The NPI number for Stediclinic PLLC is 1659746675. It was assigned to this organization in the NPPES registry on December 2, 2015.

Where is Stediclinic PLLC located?

Stediclinic PLLC is located at 4560 Fm 1960 Rd W Ste 106, Houston, TX 77069. The listed phone number is (832) 286-1061.

What is Stediclinic PLLC'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 Stediclinic PLLC was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.