PRE DIABETES PHYSICIAN SERVICES INC (NPI# 1154732535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154732535 |
| Entity Type | Organization |
| Organization Name | PRE DIABETES PHYSICIAN SERVICES INC |
| Practice Address |
12603 Southwest Fwy Ste 600 Stafford TX 77477-3838 |
| Mailing Address |
3721 Executive Center Dr Ste 160 Austin TX 78731-1607 |
| Practice Telephone | 5126234900 |
| Mailing Telephone | 5126234900 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |
| Authorized Official Name | MR. RANDY MARFIN (CEO) |
| Authorized Official Telephone | 5126234919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | J4115 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639581077 | Pre Diabetes Physician Services Inc | Specialist | 1307 8th Ave Ste 502, Fort Worth, TX 76104-4137 | 2014-05-20 |
| 1568873941 | Pre Diabetes Physician Services Inc | Specialist | 491 Allendale Rd Ste 222, King of Prussia, PA 19406-1431 | 2014-05-19 |
| 1679984058 | Pre Diabetes Physician Services Inc | Specialist | 3280 Howell Mill Rd Nw Ste 204, Atlanta, GA 30327-4100 | 2014-05-19 |
| 1093052268 | Pre Diabetes Physician Services Inc | Specialist | 3724 Executive Center Dr Ste 150, Austin, TX 78731-1631 | 2013-01-08 |
| 1295146611 | Pre Diabetes Physician Services Inc | Specialist | 2541 E Carson St, Pittsburgh, PA 15203-2186 | 2014-05-20 |
| Street Address |
12603 SOUTHWEST FWY STE 600 |
| City | STAFFORD |
| State | TX |
| Zip Code | 77477-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699277848 | Texas Rehab LLC | Physical Medicine & Rehabilitation | 12603 Southwest Fwy Ste 600, Stafford, TX 77477-3838 | 2018-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904924 | Joby George Samuel | Pharmacist | 16675 W. Airport, Meadows Place, TX 77477 | 2020-08-28 |
| 1184261851 | Butterfly Wellness, Pllc | Family Medicine | 1250 Texas Parkway Ste A1, Missouri City, TX 77477 | 2019-12-02 |
| 1013564848 | B Williams & Co | Ambulance | 435 Murphy Rd, Suite B1, #233, Stafford, TX 77477 | 2019-08-26 |
| 1033763594 | Sabrina Gonzales-smith | Behavioral Analyst | 10435 Greenbough Dr. Suite 410, Stafford, TX 77477 | 2019-08-01 |
| 1578021986 | Daniel Max & Marcandrea LLC | Optometrist | 11229 W Airport Blvd, Suite 300, Stafford, TX 77477 | 2019-03-05 |
| 1245794783 | All Peoples Choice Healthcare Services Inc | Home Health | 11707 Kenzie Ct, Meadows Place, TX 77477 | 2019-01-29 |
| 1467925867 | Sheila Densie Wiltz | Counselor | 215 Kingsway Dr., Stafford, TX 77477 | 2019-01-08 |
| 1427529312 | Bianca Gil | Behavioral Analyst | 10435 Geenbough Dr, St 410, Stafford, TX 77477 | 2018-12-17 |
| 1508349770 | Cedric Ita Eyo | Counselor | 10500 Fountain Lake Drive, Apt. 428, Stafford, TX 77477 | 2018-09-12 |
| 1386126712 | Enajite Yvonne Omezi | Registered Nurse | 3001 Dove Country Drive, Apt 1809, Stafford, TX 77477 | 2018-09-01 |
| Find all providers in zip 77477 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386063691 | Eleonora Caroline Habnit Wright | Specialist | 9 Lake View Ter, Stafford, VA 22556-1804 | 2014-04-15 |
| 1841616281 | Stefanie R Roetzer | Specialist | 9024 Roanoke Rd, Stafford, NY 14143-9524 | 2014-03-10 |
| 1205061025 | Megan E Hubbard | Specialist | 6 Marquis Ct, Stafford, VA 22554-8818 | 2009-05-22 |
| 1821231523 | Janis King | Specialist | 803 Robins Way, Stafford, TX 77477-5838 | 2009-04-09 |
| 1316018781 | Primary and Urgent Care LLC | Specialist | 231 Garrisonville Rd, Suite 101, Stafford, VA 22554-1527 | 2006-11-10 |
| 1104895226 | Brian Peter Jennings | Specialist | 11 Hope Rd, #2`3, Stafford, VA 22554-7202 | 2006-03-14 |
| 1891783551 | Michael Cohen | Specialist | 24 Onville Rd, Suite 205, Stafford, VA 22556-3831 | 2005-10-07 |
| 1891788444 | Karen Elaine Wood | Specialist | 4915 S Main St, Suite 106, Stafford, TX 77477-4601 | 2005-08-30 |
| 1598218091 | Ellen Anne Schaefer | Specialist | 31 Stafford Ave, Stafford, VA 22554-7246 | 2016-08-01 |
| 1073853396 | Janelle Simone Morrissey | Specialist | 2765 Jefferson Davis Hwy, Suite 209, Stafford, VA 22554-8331 | 2013-02-23 |
| Find all providers in STAFFORD | ||||
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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.