Provider Demographics
NPI:1710394200
Name:NSM CLINIC
Entity Type:Organization
Organization Name:NSM CLINIC
Other - Org Name:NSM MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARTANTIN
Authorized Official - Middle Name:CORTEZ
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-639-4102
Mailing Address - Street 1:8900 KIRBY DR
Mailing Address - Street 2:SUITE 260-265
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2831
Mailing Address - Country:US
Mailing Address - Phone:832-639-4102
Mailing Address - Fax:713-261-1592
Practice Address - Street 1:8900 KIRBY DR
Practice Address - Street 2:SUITE 260-265
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2831
Practice Address - Country:US
Practice Address - Phone:713-681-3599
Practice Address - Fax:713-681-3594
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-16
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty