GEO-ANNA QUINTANILLA HIRSHENBAUM (NPI# 1134326192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134326192 |
Entity Type | Individual |
Full Name | GEO-ANNA QUINTANILLA HIRSHENBAUM |
Credential | PHD |
Practice Address |
14100 Karissa Ct Houston TX 77049-3866 |
Mailing Address |
7272 Wurzbach Rd 706 San Antonio TX 78240-4803 |
Practice Telephone | 2106153483 |
Practice Fax Number | 2105939863 |
Mailing Telephone | 2106153483 |
Enumeration Date | 2007-07-02 |
Last Update Date | 2015-11-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
37194 | TX | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 186053801 | 05 | |
TX | 186053802 | 05 | |
TX | 186053803 | 05 |
Street Address |
14100 KARISSA CT |
City | HOUSTON |
State | TX |
Zip Code | 77049-3866 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629524665 | Questcare Matrix, Pllc | Internal Medicine | 14100 Karissa Ct, Houston, TX 77049-3866 | 2016-08-30 |
1801239033 | Liberty County Hospital District No 1 | Skilled Nursing Facility | 14100 Karissa Ct, Houston, TX 77049-3866 | 2013-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770059032 | Cheryl Melissa Lewis | Nurse Practitioner | 18360 Wallisville Road, Houston, TX 77049 | 2018-10-15 |
1962757898 | Lmr Webster Street Pharmacy Incorporated | Pharmacy | 11519 Wallisville Rd Ste 500, Houston, TX 77049 | 2012-07-17 |
1083816458 | Wallisville Dental Associates, Pa | Dentist | 14570 Wallisville Road, Suite 2, Houston, TX 77049 | 2007-06-05 |
1144376823 | Phuong T Nguyen | Dentist | 14570 Wallisville Rd Suite #2, Houston, TX 77049 | 2007-01-26 |
1366524324 | Gmn Vision LLC | Durable Medical Equipment & Medical Supplies | 14570 Wallisville Rd, Suite 3b, Houston, TX 77049 | 2006-10-19 |
1801993795 | Jadalia Home Health Agency, Inc. | Home Health | 14651 Leacrest Drive, Houston, TX 77049 | 2006-09-20 |
1881662344 | South Lake Houston Emergency Medical Services | Ambulance | 14418 Beaumont Highway, Houston, TX 77049 | 2006-03-10 |
1770579872 | Karen Elizabeth Smith-cook | Pediatrics | 13711 Wallisville Rd, Houston, TX 77049 | 2005-09-23 |
1275015489 | Alexander Chernyshov | Counselor | 13711 Wallisville Rd, Houston, TX 77049 | 2018-09-04 |
1295090389 | Oyelola Omowunmi Atobajeun | Dentist | 5607 Uvalde Rd, Houston, TX 77049 | 2012-07-05 |
Find all providers in zip 77049 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821627969 | Jannis Faye Moody | Psychologist | 11250 West Rd Ste E, Houston, TX 77065-4439 | 2020-04-01 |
1609404771 | La Shaun Arzu Pllc | Psychologist | 8530 S Braeswood Blvd, Houston, TX 77071-1108 | 2020-04-01 |
1518590025 | Carla Sharp | Psychologist | Health 2 Building 4849 Calhoun Rd Suite 1001a, Houston, TX 77204-0001 | 2020-02-13 |
1295399707 | Mary Cassondra Reissinger | Psychologist | 1502 Taub Loop Ste 4.229, Houston, TX 77030-1608 | 2019-04-30 |
1134696826 | Adriane De Freitas Barroso | Psychologist | 7670 Woodway Dr Ste 360, Houston, TX 77063 | 2018-10-31 |
1922582741 | Anthony Ecker | Psychologist | 2002 Holcombe Blvd # Nc152, Houston, TX 77030-4211 | 2018-09-18 |
1295217503 | New Way Psychological Services, Pllc | Psychologist | 2100 West Loop South Suite 800, Houston, TX 77027 | 2018-09-04 |
1750872537 | Rose Haney | Psychologist | 13700 Veterans Memorial Dr # 245, Houston, TX 77014-1026 | 2018-05-28 |
1619476017 | Nicole Entrekin | Psychologist | 10411 South Dr, Houston, TX 77099-2876 | 2018-02-12 |
1669908398 | Inspirar Counseling Services, Pllc | Psychologist | 4500 Montrose Blvd Ste F, Houston, TX 77006-5842 | 2017-05-01 |
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.