=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124261797
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOUSTON THYROID AND ENDOCRINE SPECIALISTS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2009
-----------------------------------------------------
Last Update Date | 05/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4747 BELLAIRE BLVD STE 275
-----------------------------------------------------
City | BELLAIRE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77401-4517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-795-0770
-----------------------------------------------------
Fax | 713-795-0855
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4747 BELLAIRE BLVD STE 275
-----------------------------------------------------
City | BELLAIRE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77401-4517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-795-0770
-----------------------------------------------------
Fax | 713-795-0855
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | DR. MEDHAVI JOGI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 713-795-0770
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RE0101X
-----------------------------------------------------
Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
-----------------------------------------------------
License Number | M0446
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------