ABACUS IME LLC


Address: 1240 Blalock Rd Ste 190, Houston, TX 77055-6451
Phone: 2814692225

ABACUS IME LLC (NPI# 1205326022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205326022
Entity Type Organization
Organization Name ABACUS IME LLC
Practice Address 1240 Blalock Rd Ste 190
Houston
TX 77055-6451
Mailing Address 24165 W Interstate 10 Ste 217-611
San Antonio
TX 78257-1449
Practice Telephone 2814692225
Practice Fax Number 8885788800
Enumeration Date 2018-05-17
Last Update Date 2018-05-17
Authorized Official Name MR. JOSHUA J GUTIERREZ (OWNER)
Authorized Official Telephone 2814692225
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX TEXAS CHIROPRACTIC BOARD 02939 01

Office Location

Street Address 1240 BLALOCK RD STE 190
City HOUSTON
State TX
Zip Code 77055-6451

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1255849147 Tan Minh Nguyen Physical Therapy Assistant 1341 Blalock, Houston, TX 77055 2018-01-13
1679097737 Susan Degner Social Worker 1500 N. Post Oak Rd. Suite 150, Houston, TX 77055 2017-07-31
1003336413 Solange Inzillo Speech-Language Pathologist 9757 Pine Lake Drive, #4025, Houston, TX 77055 2017-06-27
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1881152965 Bear Creek Medical Center, Inc. Clinic/Center 4521 Highway 6 N Ste C, Houston, TX 77084-3479 2019-03-07
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1952886699 Accucare Medical Clinic Pllc Clinic/Center 2918 San Jacinto St Ste 150, Houston, TX 77004 2018-09-28
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1336650860 Fast Recovery Healthcare Center LLC Clinic/Center 6260 Westpark Dr Ste 300h, Houston, TX 77057-7353 2017-10-24
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Competitor

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City HOUSTON
Zip Code 77055

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Dataset Information

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.

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