EMERALD PEDIATRIC CLINIC PA (NPI# 1174979348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174979348 |
| Entity Type | Organization |
| Organization Name | EMERALD PEDIATRIC CLINIC PA |
| Practice Address |
11511 Veterans Memorial Dr Ste 300 Houston TX 77067-2613 |
| Mailing Address |
11511 Veterans Memorial Dr Ste 300 Houston TX 77067 |
| Practice Telephone | 2814447726 |
| Mailing Telephone | 2814447726 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |
| Authorized Official Name | IMRAN BAIG (PRESIDENT) |
| Authorized Official Telephone | 2814447726 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
AP130641 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AP130641 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083861231 | Emerald Pediatric Clinic Pa | Pediatrics | 11511 Veterans Memorial Dr Ste 300, Houston, TX 77067-2603 | 2008-08-19 |
| Street Address |
11511 VETERANS MEMORIAL DR STE 300 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77067-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083861231 | Emerald Pediatric Clinic Pa | Pediatrics | 11511 Veterans Memorial Dr Ste 300, Houston, TX 77067-2603 | 2008-08-19 |
| 1104460070 | Shayla Sharmin | Registered Nurse | 11511 Veterans Memorial Dr Ste 300, Houston, TX 77067-2613 | 2019-11-04 |
| 1053819276 | Qunesha Renee Scallion | Nurse Practitioner | 11511 Veterans Memorial Dr Ste 300, Houston, TX 77067-2613 | 2018-01-23 |
| 1063669232 | Nenita U Tiu | Pediatrics | 11511 Veterans Memorial Dr Ste 300, Houston, TX 77067-2603 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023646718 | Tracy Ann Strown | Nurse Practitioner | 11626 Tc Jester Rd, Suite 500, Houston, TX 77067 | 2020-03-30 |
| 1932731056 | Kalena Nicole Terry | Counselor | 390 Glenborough Dr, 156, Houston, TX 77067 | 2020-02-06 |
| 1891293874 | Marceda Casilda Jackson | Home Health | 832 West Greens Road, Apt 213, Houston, TX 77067 | 2018-01-25 |
| 1841673159 | Cam Ngoc T. Dong | Dentist | 11399 Veterans Memeorial Dr, Houston, TX 77067 | 2015-07-06 |
| 1215282066 | Patricia Ann Perkins | Advanced Practice Midwife | 700 North Sam Houston Parkway Wesst, Houston, TX 77067 | 2012-07-18 |
| 1508152125 | Db Pharmacy, Pllc | Pharmacist | 12100-e Veterans Memorial Dr., Houston, TX 77067 | 2011-06-22 |
| 1689879702 | Chiro Dc | Chiropractor | 11210 Veterans Memorial, Suite C, Houston, TX 77067 | 2007-06-19 |
| 1295802734 | Peter Nguyen Van Tho | Dentist | 12002 Veterans Memorial Drive, Suite B3, Houston, TX 77067 | 2006-11-29 |
| 1659450682 | Sherry Ann Pringle | Dentist | 12134 Veterans Memorial Dr, Houston, TX 77067 | 2006-11-02 |
| 1689756918 | Charles Eugene Fontanier | General Practice | 210 W Greens Rd, Suite C, Houston, TX 77067 | 2006-10-19 |
| Find all providers in zip 77067 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699028670 | Karla Rangel | Clinical Nurse Specialist | 5800 Bellaire Blvd, Ste 102, Houston, TX 77081-5537 | 2012-10-16 |
| 1881876795 | Lone Star Children's Medical Pllc | Clinical Nurse Specialist | 10375 Northwest Fwy, Houston, TX 77092-8200 | 2007-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942830211 | Katherine Ann Kunkle | Clinical Nurse Specialist | 200 West Ave, Pasadena, TX 77502-3630 | 2020-01-24 |
| 1790254241 | Daaiyah Ward | Clinical Nurse Specialist | 1810 16th St, Hempstead, TX 77445-5852 | 2018-11-14 |
| 1285134940 | Frankie Lynn Brown | Clinical Nurse Specialist | 209 Rodney St, Hawkins, TX 75765-2769 | 2018-02-19 |
| 1295123818 | Jessica Denise De Lara | Clinical Nurse Specialist | 1390 George Dieter Dr Ste 100, Suite C, El Paso, TX 79936-7423 | 2015-01-05 |
| 1316344385 | Jessica Dominguez | Clinical Nurse Specialist | 4321 N Mesa St Ste B, El Paso, TX 79902-1105 | 2014-11-19 |
| 1609104066 | Mary Olivia De Leon | Clinical Nurse Specialist | 4920 N. Expressway, Alton Gloor Plaza#101, Brownsville, TX 78526 | 2009-11-24 |
| 1245471010 | Celeste Maria Boyd | Clinical Nurse Specialist | 7602 Lonecrest Ln, Converse, TX 78109-3245 | 2009-03-09 |
| 1881834539 | Iris Well Child Physicals | Clinical Nurse Specialist | 200 W. Edinburg Hwy 107, Suite B, Elsa, TX 78543-1274 | 2009-02-20 |
| 1609892041 | Melissa E Fondren | Clinical Nurse Specialist | 710 Bedell, Del Rio, TX 78840-6072 | 2006-07-15 |
| 1831735091 | Diana Lynn Cardwell | Clinical Nurse Specialist | 1935 Medical District Dr, Dallas, TX 75235-7701 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
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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.