ANTIAGING CENTERS OF TEXAS MDPA (NPI# 1043409881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043409881 |
| Entity Type | Organization |
| Organization Name | ANTIAGING CENTERS OF TEXAS MDPA |
| Practice Address |
2646 S Loop W Ste 300 Houston TX 77054-2678 |
| Mailing Address |
5318 Weslayan St # 183 Houston TX 77005-1048 |
| Practice Telephone | 7135899115 |
| Practice Fax Number | 2812014560 |
| Mailing Telephone | 7135899115 |
| Mailing Fax Number | 2812014560 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2008-12-04 |
| Authorized Official Name | MRS. AJAY K AGGARWAL (AUTHORIZED OFFICER) |
| Authorized Official Telephone | 8774334352 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
2646 S LOOP W STE 300 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-2678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639368467 | Aa Texas Anesthesia Back Pain Center Mdpa | Anesthesiology | 2646 S Loop W Ste 300, Houston, TX 77054-2678 | 2007-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
| Find all providers in zip 77054 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047635 | Barry Davis | Preventive Medicine | 1200 Hermann Pressler Dr Ste 916, Houston, TX 77030-3900 | 2018-09-24 |
| 1376688002 | Margaret Adele Gale Rowe | Preventive Medicine | 1115 S Braeswood, Houston, TX 77030 | 2007-02-20 |
| 1396817250 | Steven Lewis Harris | Preventive Medicine | 8000 N Stadium Dr, 5th Floor, Houston, TX 77054-1823 | 2006-11-15 |
| 1154781979 | Flu Clinics of Southeast Texas, Inc | Preventive Medicine | 9601 Katy Fwy, Suite 315, Houston, TX 77024-1342 | 2016-03-07 |
| 1801287974 | Pathfinder Medical Group of Texas | Preventive Medicine | 2950 North Loop W, Ste 500, Houston, TX 77092-8843 | 2015-02-11 |
| 1003205360 | Shioma Wellness Center, Pa | Preventive Medicine | 5433 Westheimer Rd, # 420, Houston, TX 77056-5399 | 2015-01-09 |
| 1922430214 | Tam Bao Nguyen | Preventive Medicine | 11445 Compaq Center West Dr, Houston, TX 77070-1433 | 2013-08-08 |
| 1699972083 | Larry Wayne Anglin | Preventive Medicine | 6565 Fannin St, Sm 583, Houston, TX 77030-2703 | 2007-06-28 |
| 1871794941 | Grahamtime Family Pllc | Preventive Medicine | 2519 Ruth St, Houston, TX 77004-5285 | 2007-05-29 |
| 1346457538 | Tufail Qamar Shaikh | Preventive Medicine | 7777 Southwest Fwy, Suite 650, Houston, TX 77074-1802 | 2007-05-17 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.