HARSHADALA M. GOMBERAWALLA (NPI# 1164547790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164547790 |
| Entity Type | Individual |
| Full Name | HARSHADALA M. GOMBERAWALLA |
| Credential | M.D. |
| Practice Address |
2925 W T C Jester Blvd Houston TX 77018-7061 |
| Mailing Address |
323 Hunters Trail St Houston TX 77024-6949 |
| Practice Telephone | 7136823825 |
| Practice Fax Number | 7136823850 |
| Mailing Telephone | 7134805272 |
| Mailing Fax Number | 7136823850 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
J1671 | TX | Ambulatory Health Care Facilities |
| Street Address |
2925 W T C JESTER BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77018-7061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447248471 | A.j. Haddock | Family Medicine | 2925 W T C Jester Blvd, Suite 3, Houston, TX 77018-7061 | 2005-10-13 |
| 1376885384 | Ecocheck Laboratories LLC | Clinical Medical Laboratory | 2925 W T C Jester Blvd, Suite 15, Houston, TX 77018-7061 | 2013-03-18 |
| 1164760260 | Ecocheck Laboratories LLC | Clinical Medical Laboratory | 2925 W T C Jester Blvd, 15, Houston, TX 77018-7061 | 2013-01-24 |
| 1306132394 | Joseph Alexander Gor | Nurse Practitioner | 2925 W T C Jester Blvd, Houston, TX 77018-7061 | 2011-06-28 |
| 1386840262 | The Bridge | Psychologist | 2925 W T C Jester Blvd, Suite 5, Houston, TX 77018-7061 | 2007-06-26 |
| 1366598500 | Carlos Ranon Bolano | Pediatrics | 2925 W T C Jester Blvd, Suite #1 (kids'nn Teens Clinics), Houston, TX 77018-7061 | 2007-01-27 |
| 1659426344 | Kids 'n Teens Clinics | Pediatrics | 2925 W T C Jester Blvd, Ste. 1, Houston, TX 77018-7061 | 2007-01-24 |
| 1861459133 | Fernando A Isart | Pediatrics | 2925 W T C Jester Blvd, Houston, TX 77018 | 2006-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748611 | Kourtni C Resnick | Counselor | 2180 North Loop West, Suite 300, Houston, TX 77018 | 2020-04-06 |
| 1992337257 | Ozioma G Anyakudo | Nurse Practitioner | 2815 W Tc Jester Blvd, Houston, Texas 77018, Houston, TX 77018 | 2020-02-05 |
| 1447766092 | Delshaveon Masters | Prosthetist | 2802 W Tc Jester Blvd, Apt 1, Houston, TX 77018 | 2017-12-19 |
| 1891221099 | Jennifer Lyon | Chore Provider | 1222 Lehman, Houston, TX 77018 | 2017-05-08 |
| 1235501610 | Caryn Alyce Honig | Dietitian, Registered | 2060 North Loop W Ste 205, Houston, TX 77018 | 2015-10-26 |
| 1164806485 | Katie E Stuchlik | Dentist | 1717 West 34th Street, Suite 450, Houston, TX 77018 | 2015-07-16 |
| 1124436209 | Martha Mattison | Clinical Ethicist | 501 Garden Oaks, Houston, TX 77018 | 2014-08-01 |
| 1548689383 | Sherry Cooper | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2015 West 34 Th Street Suite A, Houston, TX 77018 | 2014-04-09 |
| 1124377387 | Dionne Tompkins | Dentist | 4040 Yale Street, Houston, TX 77018 | 2012-09-04 |
| 1922330869 | Liliana Zugey Rueda-castrillon | Plastic Surgery | 1100 W 34th Street, Houston, TX 77018 | 2010-02-03 |
| Find all providers in zip 77018 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202800 | Devoted Medical Group of Texas, Inc. | Clinic/Center | 20405 State Highway 249 Ste 325, Houston, TX 77070-2893 | 2020-10-13 |
| 1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1053953851 | Dthealth, Pllc | Clinic/Center | 13218 Bellaire Blvd, Houston, TX 77083 | 2019-10-13 |
| 1376197186 | Comprehensive Health Center | Clinic/Center | 9910 Long Point Rd, Houston, TX 77055-4116 | 2019-07-30 |
| 1255984639 | Evolution Health & Wellness | Clinic/Center | 12841 Jones Rd Ste 250, Houston, TX 77070-4526 | 2019-07-24 |
| 1215404942 | Stephens Family Healthcare Inc | Clinic/Center | 2912a Mangum Rd, Houston, TX 77092-7408 | 2018-10-31 |
| 1265913057 | Tmp413llc | Clinic/Center | 601 S Wayside Dr # B, Houston, TX 77011-4603 | 2018-08-28 |
| 1649786427 | Medical Care Innovation, P.C. | Clinic/Center | 1254 Enclave Parkway, Houston, TX 77077 | 2017-12-16 |
| 1902311251 | Ethics Family Clinic | Clinic/Center | 6405 Antoine Dr Ste 7, Houston, TX 77091-1233 | 2017-12-08 |
| 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.