SDLDM, INC DBA PASSPORT HEALTH HOUSTON (NPI# 1134545072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134545072 |
| Entity Type | Organization |
| Organization Name | SDLDM, INC DBA PASSPORT HEALTH HOUSTON |
| Practice Address |
9601 Katy Fwy Suite 315 Houston TX 77024-1342 |
| Mailing Address |
9601 Katy Fwy Ste 315 Houston TX 77024-1360 |
| Practice Telephone | 7134676575 |
| Practice Fax Number | 7134676881 |
| Mailing Telephone | 7134676575 |
| Mailing Fax Number | 7134676881 |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |
| Authorized Official Name | MRS. DEBORAH LINDSAY MEDELLIN (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7134676575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
9601 KATY FWY SUITE 315 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77024-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295707511 | Hector Medellin | Specialist | 9601 Katy Fwy, Ste. 315, Houston, TX 77024-1342 | 2006-02-02 |
| 1811422850 | Michelle M Forrester, Ph.d., PC | Psychologist | 9601 Katy Fwy, Suite 175, Houston, TX 77024-1342 | 2017-04-27 |
| 1154781979 | Flu Clinics of Southeast Texas, Inc | Preventive Medicine | 9601 Katy Fwy, Suite 315, Houston, TX 77024-1342 | 2016-03-07 |
| 1386013803 | Ten13 Group, LLC | Preferred Provider Organization | 9601 Katy Fwy, Suite 430, Houston, TX 77024-1342 | 2015-09-15 |
| 1215329107 | Cathleen Pasia Schaefer | Psychologist | 9601 Katy Fwy, Ste 175, Houston, TX 77024-1342 | 2015-03-02 |
| 1760774467 | Flu Clinics of Southeast Texas, Inc. | Specialist | 9601 Katy Fwy, Suite 315, Houston, TX 77024-1342 | 2011-05-12 |
| 1437387982 | Periodontal Associates of Greater Houston | Dentist | 9601 Katy Fwy, Ste 360, Houston, TX 77024-1342 | 2009-06-23 |
| 1447384458 | Michelle Marie Forrester | Psychologist | 9601 Katy Fwy, Suite 380, Houston, TX 77024-1342 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154955664 | Candace L Lillibridge | Physical Therapist | 700 Town & Country Blvd, Suite 2490, Houston, TX 77024 | 2020-02-24 |
| 1952940728 | Generations Provider Services LLC | Technician | 12633 Memorial Dr #242 Unit, Houston, TX 77024 | 2019-12-27 |
| 1912540352 | Francesca Penner | Psychologist | 920 Frostwood Drive, Suite 670 and 680, Houston, TX 77024 | 2019-10-17 |
| 1407498553 | Charles Hooks Iv | Technician | 12119 Perthshire Rd, Houston, TX 77024 | 2019-10-10 |
| 1427614379 | Texas Regional Clinic | Pain Medicine | 8301 Katy Freeway, Suite 101, Houston, TX 77024 | 2019-05-16 |
| 1922663871 | Fast Premier Transport LLC | Secured Medical Transport (VAN) | 811 Town and Country Blvd., Suite 141, Houston, TX 77024 | 2019-05-07 |
| 1205317534 | Hiro Health Corporation | Durable Medical Equipment & Medical Supplies | 8584 Katy Freeway, Suite 422, Houston, TX 77024 | 2018-08-24 |
| 1548799901 | K Med Pharmacy | Pharmacy | 11900 Barryknoll #6109, Houston, TX 77024 | 2017-06-08 |
| 1184166712 | Baylor College of Medicine | Clinic/Center | 8660 Memorial Drive, Houston, TX 77024 | 2016-11-14 |
| 1376092197 | Elyse Sears Dds Pllc | Dentist | 803 W Sam Houston Pkwy N, Ste 124, Houston, TX 77024 | 2016-09-22 |
| Find all providers in zip 77024 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398519 | Triniti Obgyn and Medspa, Pllc | Clinic/Center | 10902 Katy Fwy Apt 503, Houston, TX 77043-4918 | 2020-08-31 |
| 1215545751 | Fullilove Prregnancy Center | Clinic/Center | 1640 E Tc Jester Blvd Apt 1123, Houston, TX 77008-2579 | 2020-07-21 |
| 1265063853 | Egolink Express Inc | Clinic/Center | 10333 Harwin Dr Ste 518, Houston, TX 77036-1561 | 2020-02-01 |
| 1588201172 | Ptsd Foundation of America | Clinic/Center | 9724 Derrington Rd, Houston, TX 77064-5808 | 2019-12-03 |
| 1841840915 | Christine C Gooch | Clinic/Center | 8145 Highway 6 S Ste 130, Houston, TX 77083-5740 | 2019-09-19 |
| 1437713328 | Vascmed LLC | Clinic/Center | 14441 Memorial Dr Ste 16, Houston, TX 77079-6737 | 2019-04-25 |
| 1467916940 | Rcb Funding Group LLC | Clinic/Center | 950 Threadneedle St # 295, Houston, TX 77079-2925 | 2019-01-29 |
| 1083107379 | Testosterone Rejuvenation and Medical Spa, Inc | Clinic/Center | 430 Highway 6 S Ste 204, Houston, TX 77079-2339 | 2018-06-11 |
| 1235629049 | Star Luxury Enterprises Inc | Clinic/Center | 10101 Bissonnet St Ste 101, Houston, TX 77036-7855 | 2018-05-16 |
| 1679096721 | Hope Adol Outpatient Txt Center for Mental and Behavior Health, LLC | Clinic/Center | 9006 Scott St, Houston, TX 77051-2751 | 2017-07-20 |
| 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.