P Praxis·MD
● Active Type 2 · Organization

Havana Medical Group Corp

Nurse Practitioner·Houston, TX· NPI 1679270623 · Enumerated 2023 · 3 years on NPI
Havana Medical Group Corp is 1 of 22123 nurse practitioner organizations in Texas.
NPI age
3 years
Enumerated 2023-02-09
Primary specialty
Nurse Practitioner
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Basulto Barcelay
Director
Last NPPES update
2023-03-31
Source: monthly bulk 2026-05

How this organization compares

Across 22123 active nurse practitioner providers in Texas.

NPI age
3 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 23% of peers with subspecialties

NPI lifetime · 2023 → 2026

2023-02Enumerated in NPPES
2023 2026

Where they practice

Primary practice location
715 Telephone Rd
Houston, TX 770233117
📞 8328714777fax 8328714776
Mailing address
715 Telephone Rd
Houston, TX 770233117
📞 8328714777fax 8328714776

Authorized official

Norbe Luis Basulto Barcelay, NP
Director
📞 7865568819

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LF0000X
  • Clinic/Center
    Definition to come...
    taxonomy 261QP2300X

Identifiers

TypeValueNotes
01 (TX) 1861628505 MOLINA
05 (TX) 1861628505
01 1861628505 AETNA
01 (TX) 1861628505 COMMUNITY HEALTH CHOICE
01 (TX) 1861628505 BLUE CROSS BLUE SHIELD
01 (TX) 1861628505 UNITED HEALTH CARE

Other names on file (2)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Clinica Havana
    Type code 3 recorded 2023-03-31
  • Clinica Havana
    Type code 3 recorded 2023-02-09

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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