Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Main Medical Clinic

Organization Internal Medicine Physician · NPI 1114227303

South Main Medical Clinic is an Internal Medicine Physician in Houston, Texas. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2

Practice location Address checks out

10021 S Main St Ste B3
Houston, TX 77025-5224
Phone: (713) 668-1166
Fax: (713) 668-8159
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1114227303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Wanguri — President · (713) 668-1166
NPI enumeratedOctober 22, 2010
Last updated in NPPESOctober 22, 2010
Mailing address10021 S Main St, Suite B3, Houston, TX 77025-5224

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