BIRD DOG PHARMA, LLC (NPI# 1124488085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124488085 |
| Entity Type | Organization |
| Organization Name | BIRD DOG PHARMA, LLC |
| Other Organization Name | BIRD DOG WELLNESS |
| Practice Address |
12242 Queenston Blvd Ste E Houston TX 77095-5353 |
| Practice Telephone | 7132523579 |
| Practice Fax Number | 8004347514 |
| Mailing Telephone | 7132523579 |
| Mailing Fax Number | 8004347514 |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2018-09-11 |
| Authorized Official Name | JOHNNY GILBERT (CEO) |
| Authorized Official Telephone | 7132523579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 293D00000X | Physiological Laboratory | Laboratories | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 367518301 | 05 | |
| TX | 367518303 | 05 |
| Other Name | Type Code |
|---|---|
| Bird Dog Wellness | Doing Business As Name - Organization |
| Street Address |
12242 QUEENSTON BLVD STE E |
| City | HOUSTON |
| State | TX |
| Zip Code | 77095-5353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134775216 | Turnkey Allergy Solutions, LLC | Allergy & Immunology | 12242 Queenston Blvd Ste E, Houston, TX 77095-5353 | 2019-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134676 | Ml - Easton Commons LLC | Skilled Nursing Facility | 8561 Easton Commons Dr, Houston, TX 77095 | 2019-10-02 |
| 1821554437 | Northwest Dental Care Pllc | Dentist | 7700 Highway 6 North, Suite 106, Houston, TX 77095 | 2019-02-19 |
| 1306313945 | Jessica Jane Holly | Speech-Language Pathologist | 9010 Gable Glen Ln, Houston, TX 77095 | 2018-11-01 |
| 1952887341 | Kimberly Dawn Hanchett | Social Worker | 10027 Corvallis Dr, Houston, TX 77095 | 2018-07-18 |
| 1558879627 | Amy Lee Lundblad | Occupational Therapy Assistant | 17207 Haley Falls Lane, Houston, TX 77095 | 2018-01-11 |
| 1568971992 | St.agnes Adult Day Care LLC | Clinic/Center | 7520-b Cherry Park Drive, Houston, TX 77095 | 2017-09-28 |
| 1164947628 | Jcl Heintz Corporation | In Home Supportive Care | 9538 Huffmeister Rd, Houston, TX 77095 | 2017-08-06 |
| 1528592243 | Berta Mariam Charly | Nurse Practitioner | 9411 Vander Rock Dr., Houston, TX 77095 | 2017-04-19 |
| 1336520691 | Kisha Kloster | Marriage & Family Therapist | 7825 Highway 6 N Ste D, Houston, TX 77095 | 2015-06-12 |
| 1457743262 | Qkt Enterprises Pllc | Dentist | 7160 Barker Cypress, Suite E, Katy, TX 77095 | 2015-03-03 |
| Find all providers in zip 77095 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1174133870 | Houston Family Medicine & Pediatrics Pllc | Internal Medicine | 10101 Bissonnet St Ste 105a, Houston, TX 77036-7856 | 2020-08-06 |
| 1285250308 | Vzsss Inc | Internal Medicine | 11410 East Fwy Ste 164, Houston, TX 77029-2028 | 2020-06-24 |
| 1134744873 | Manoj B Vakil Md Pa | Internal Medicine | 1801 North Loop W Ste 42, Houston, TX 77008-1445 | 2020-06-09 |
| 1912526997 | Obur Health Pa | Internal Medicine | 1700 Post Oak Blvd Ste 600, Houston, TX 77056-3973 | 2020-04-10 |
| 1841824489 | Senior Care Providers Pllc | Internal Medicine | 1910 Aspley Ct, Houston, TX 77094-3431 | 2020-02-22 |
| 1306478730 | Sunny Medical Care Pllc | Internal Medicine | 18220 State Highway 249 Ste 100, Houston, TX 77070-4349 | 2020-02-04 |
| 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.