FUNCTIONAL RESTORATION SERVICES OF TEXAS, LLC (NPI# 1154512168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154512168 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL RESTORATION SERVICES OF TEXAS, LLC |
| Practice Address |
11275 S Sam Houston Pkwy W Suite 150 Houston TX 77031-2357 |
| Practice Telephone | 8323284545 |
| Practice Fax Number | 8323284548 |
| Mailing Telephone | 8323284545 |
| Mailing Fax Number | 8323284548 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Authorized Official Name | DR. DANIEL VICTOR BODIN (PROGRAM DIRECTOR/OWNER) |
| Authorized Official Telephone | 7139624377 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers |
| Street Address |
11275 S SAM HOUSTON PKWY W SUITE 150 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77031-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992703714 | Jose J Leyva | Psychiatry & Neurology | 11275 S Sam Houston Pkwy W, Suite 150, Houston, TX 77031-2357 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185807 | Mosunmola Feyisetan Pikuda | Registered Nurse | 9200 West Bellfort Street, Apt 48, Houston, TX 77031 | 2018-08-28 |
| 1215413109 | Zleep Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 10511 Windsor Ln, Suite B111, Houston, TX 77031 | 2018-07-14 |
| 1821443367 | Westside Surgical Hospital, LLC | General Acute Care Hospital | 11375 W Sam Houston Pkwy, Suite 150, Houston, TX 77031 | 2016-05-03 |
| 1982028023 | Icon Health Services LLC | Home Health | 9102 Travistock Drive, Houston, TX 77031 | 2014-02-10 |
| 1033450739 | Healthchoice Pharmacy LLC | Pharmacy | 10001 West Bellfort, Houston, TX 77031 | 2013-03-06 |
| 1578873204 | Frances Uchenna Anyigbo | Intermediate Care Facility, Mentally Retarded | 11014 Ranier Dr, Houston, TX 77031 | 2010-10-15 |
| 1992014013 | Healthchoice Dme | Durable Medical Equipment & Medical Supplies | 10001 W. Bellfort Ste., K, Houston, TX 77031 | 2010-10-07 |
| 1811203375 | Tiffany Landry | Pharmacy Technician | 9222 Petersham Dr, Houston, TX 77031 | 2010-08-23 |
| 1356673990 | Latranda W Thurmond | Counselor | 10714 Silkwood Dr, Housotn, TX 77031 | 2010-02-08 |
| 1659563062 | Newlife Dme Supplies Inc. | Durable Medical Equipment & Medical Supplies | 10710 S Sam Houston Pkwy S., # 250, Houston, TX 77031 | 2007-08-10 |
| Find all providers in zip 77031 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326501594 | Angela Paola Martinez | Psychologist | 2825 Wilcrest Dr Ste 128, Houston, TX 77042-3391 | 2019-04-12 |
| 1265947261 | Brendon Gael Roatch-cardenas | Psychologist | 2175 Winrock Blvd, Houston, TX 77057-4000 | 2017-12-13 |
| 1629494810 | Texas Center of Wellness | Psychologist | 1441 Wood Hollow Dr Apt 27304, Houston, TX 77057-1646 | 2014-03-12 |
| 1184962748 | Roniesha Nicol Parish | Psychologist | 9018 Triola Ln, Houston, TX 77036-6148 | 2013-01-16 |
| 1942535273 | Houston Ocd Program | Psychologist | 1401 Castle Ct, Houston, TX 77006-5703 | 2009-10-05 |
| 1134355449 | Throstur Bjorgvinsson | Psychologist | 520 Sul Ross St, Houston, TX 77006-5031 | 2009-06-02 |
| 1548376387 | Kirleen Richardson | Psychologist | 6420 Richmond Street, #500, Houston, TX 77057 | 2006-08-22 |
| 1780693002 | Behavioral Life Associates | Psychologist | 952 Echo Ln, Ste # 335, Houston, TX 77024-2757 | 2006-08-05 |
| 1538192711 | Health Street Healthcare, Inc. | Psychologist | 8449 W. Belfort Street, #222, Houston, TX 77071 | 2006-07-09 |
| 1760432421 | Psychiatric Services of Houston | Psychologist | 4150 Westheimer Rd, Houston, TX 77027-4414 | 2006-05-11 |
| 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.