MISS KELLI VALENCIA BURROUGHS (NPI# 1104062678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104062678 |
| Entity Type | Individual |
| Full Name | MISS KELLI VALENCIA BURROUGHS |
| Credential | M.D. |
| Practice Address |
1819 Crawford St Houston TX 77002-8307 |
| Mailing Address |
7009 Almeda Rd Apt 935 Houston TX 77054-2180 |
| Practice Telephone | 7137571000 |
| Mailing Telephone | 8322593083 |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2009-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | BPI-0022356 | TX | Student, Health Care |
| Street Address |
1819 CRAWFORD ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77002-8307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699739383 | Elizabeth O'donnell | Pediatrics | 1819 Crawford St, Houston, TX 77002-8307 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487273 | Victoria Ann Petruzzi | Obstetrics & Gynecology | 1401 St. Joseph Pkwy., Sks1106a, Houston, TX 77002 | 2020-05-04 |
| 1578182226 | Quinn Adams Rhodes | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy, Susan K. Strake Building, 1st Floor, Sks1106a, Houston, TX 77002 | 2020-04-13 |
| 1508420563 | Ines Tamzali | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Pkwy. Susan K. Strake Building, 1st F, Sks1106a, Houston, TX 77002 | 2019-04-25 |
| 1487163093 | Mary Janella Blakey | Home Health | 500 Crawford St. Apt 344, Houston, TX 77002 | 2017-09-26 |
| 1306365374 | Vanability, LLC | Non-emergency Medical Transport (VAN) | 700 Louisiana St. Suite 3950, Houston, TX 77002 | 2017-09-11 |
| 1720518509 | Cara Adele Hankins | Student in an Organized Health Care Education/Training Program | 1401 St. Joseph Parkway Sks1106a, Houston, TX 77002 | 2017-06-14 |
| 1518414044 | Wellness Pain & Associates Inc | Clinic/Center | 2000 Crawford Ste1600, Houston, TX 77002 | 2016-09-01 |
| 1699140327 | Dcoa Physician Associates, Pa | Internal Medicine | 1819 Labranch, Houston, TX 77002 | 2015-12-07 |
| 1659740165 | Mark Dickason Reimer | Family Medicine | 333 Clay Street, Three Allen Center, 5th Floor, Aramco Services Company Medical Clinic, Attn Dr. Reimer, Houston, TX 77002 | 2015-09-15 |
| 1588043053 | Monique Lacole Lee | Chiropractor | 1315 St Joseph Pkwy Ste 1010, Houston, TX 77002 | 2015-05-29 |
| Find all providers in zip 77002 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865936 | Zhuoxuan Judy Cai | Student in an Organized Health Care Education/Training Program | 1400 Pressler St Fl 7703015, Houston, TX 77030-3722 | 2020-09-10 |
| 1255946109 | Idris Abdullah Badruddin | Student in an Organized Health Care Education/Training Program | 7911 Lawn Wood Ln, Houston, TX 77086-2325 | 2020-09-08 |
| 1427669209 | Omar Ahmed | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St # 6510, Houston, TX 77054-2032 | 2020-08-13 |
| 1245840503 | Punit Pala | Student in an Organized Health Care Education/Training Program | 1550 Lakeside Enclave Dr, Houston, TX 77077-1684 | 2020-08-03 |
| 1932719374 | Atteeba Manzar | Student in an Organized Health Care Education/Training Program | 6550 Fannin St Ste 1661, Houston, TX 77030-2765 | 2020-07-31 |
| 1619595204 | Noah Collaco | Student in an Organized Health Care Education/Training Program | 3110 Gannett St, Houston, TX 77025-3826 | 2020-07-09 |
| 1629696273 | Esraa Elsamny | Student in an Organized Health Care Education/Training Program | 7676 Phoenix Dr Apt 1523, Houston, TX 77030-4725 | 2020-07-09 |
| 1194343988 | Melanie Leigh Painter | Student in an Organized Health Care Education/Training Program | 1505 City Nights Way, Houston, TX 77047-3405 | 2020-07-08 |
| 1467079608 | Emmanuella Adetoro Oduguwa | Student in an Organized Health Care Education/Training Program | 10918 Ranier Dr, Houston, TX 77031-1835 | 2020-07-04 |
| 1366069288 | Jacob Charles Kinskey | Student in an Organized Health Care Education/Training Program | Attn: Jacob Kinskey, Dept. of Pathology, 6550 Fannin St Ste Sm383, Houston, TX 77030-2717 | 2020-06-26 |
| 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.