MRS. MICHELLE LUCIA DESALVO


Address: 5602 Lyons Ave, Houston, TX 77020-4721
Phone: 8325485000

MRS. MICHELLE LUCIA DESALVO (NPI# 1225283088) 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) 1225283088
Entity Type Individual
Full Name MRS. MICHELLE LUCIA DESALVO
Other Name MICHELLE SIMANCAS
Credential PA-C
Practice Address 5602 Lyons Ave
Houston
TX 77020-4721
Mailing Address Po Box 66308
Houston
TX 77266-6308
Practice Telephone 8325485000
Mailing Telephone 8325485000
Enumeration Date 2008-11-20
Last Update Date 2016-05-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA05697 TX Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant PA030556 DC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5602 LYONS AVE
City HOUSTON
State TX
Zip Code 77020-4721

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942396130 Frances L Tseng Pediatrics 5602 Lyons Ave, Houston, TX 77020-4721 2006-10-05
1013415298 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 5602 Lyons Ave, Houston, TX 77020 2018-01-23
1699209049 Clarissa Danielle Reel Dietitian, Registered 5602 Lyons Ave, Houston, TX 77020-4721 2017-04-12
1437554953 Rodari Newman Nurse Practitioner 5602 Lyons Ave, Houston, TX 77020 2014-10-27
1699034793 Lin Dai Family Medicine 5602 Lyons Ave, Houston, TX 77020-4721 2012-05-09
1104198084 Abril Torres Counselor 5602 Lyons Ave, Houston, TX 77020-4721 2012-02-07
1578853586 Josepha Immanuel Psychiatry & Neurology 5602 Lyons Ave, Houston, TX 77020 2011-04-11
1730413006 Erin Ahrens Whitney Internal Medicine 5602 Lyons Ave, Houston, TX 77020-4721 2009-09-19
1568691483 Melissa Macklin Rector Psychiatry & Neurology 5602 Lyons Ave, Houston, TX 77020-4721 2009-07-13
1043485410 Marsha Morris Crutchfield Counselor 5602 Lyons Ave, Houston, TX 77020 2008-04-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154847515 Legacy Community Health Services Pharmacy 3811 Lyons Avenue, Suite 114, Houston, TX 77020 2017-08-17
1154626000 Tatum Martin Case Manager/Care Coordinator 4409 Rawley St., Houston, TX 77020 2011-01-24
1578891610 Sunday E. Dike Pharmacist 1515 Lockwood Drive, Walgreens Store 2686, Houston, TX 77020 2009-12-01
1386877116 Mitchel Jay Abramsky General Practice 5605 Lyons Ave, Lyons Avenue Health Center, Houston, TX 77020 2009-08-27
1649420589 Doan Thuy Do Family Medicine 464 Hahlo, Houston, TX 77020 2008-09-29
1770655193 Hiep Nguyen Dentist 723 A Shotwell Street, Houston, TX 77020 2006-11-14
1790798288 Roberto Cesar Garcia Dentist 6909 Lyons Ave, Houston, TX 77020 2006-08-14
1194733030 Samuel Nmi Gold Optometrist 711 Shotwell, Houston, TX 77020 2006-08-04
1093780280 Houston Community Health Centers Inc Clinic/Center 424b Hahlo Street, Houston, TX 77020 2006-02-21
1497101356 Christelle Marie Hernandez Nurse Practitioner 3811 Lyons Ave, Houston, TX 77020 2016-05-10
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396345443 Avery Rhodes Schwartz Physician Assistant 2206 Latexo Dr, Houston, TX 77018-1717 2020-10-28
1881291938 Christine Nicole Nott Physician Assistant 13325 Hargrave Rd # 240, Houston, TX 77070-4539 2020-10-01
1306453659 Christine Michelle Serewis - Pond Physician Assistant 950 Threadneedle St # 282, Houston, TX 77079-2925 2020-09-29
1902412828 Chen-ho Yang Physician Assistant 1818 Memorial Dr Ste 200, Houston, TX 77007-8383 2020-09-16
1437769833 Aviva Tziporah Rogozen Physician Assistant 4550 N Braeswood Blvd Apt 331, Houston, TX 77096-2883 2020-07-31
1417575671 Harmeet Kaur Physician Assistant 9601 Jones Rd Ste 238, Houston, TX 77065-4774 2020-07-13
1780201939 Evelyn Oliva Physician Assistant 4943 Brenner St, Houston, TX 77022-2536 2020-07-02
1093330722 Stephanie Kochuparambil Physician Assistant 2630 Bissonnet St Apt 5213, Houston, TX 77005-1571 2020-06-09
1376171587 Samad Syed Ali Physician Assistant 12702 Morning Glory Meadow Ln, Houston, TX 77089-1551 2020-04-01
1235765660 Samantha Salcedo Physician Assistant 6651 Main St Ste 1420, Houston, TX 77030-2351 2020-03-17
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Competitor

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City HOUSTON
Zip Code 77020

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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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