PANDOR MEDICAL SERVICES, PLLC (NPI# 1255782058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255782058 |
| Entity Type | Organization |
| Organization Name | PANDOR MEDICAL SERVICES, PLLC |
| Practice Address |
18333 Egret Bay Blvd Suite 200 Houston TX 77058-3860 |
| Mailing Address |
Po Box 580467 Houston TX 77258-0467 |
| Practice Telephone | 2813330027 |
| Mailing Fax Number | 2813366254 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2016-06-23 |
| Authorized Official Name | ANGELA BALES (OFFICE MANAGER) |
| Authorized Official Telephone | 2813331300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
18333 EGRET BAY BLVD SUITE 200 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77058-3860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253174 | Jennifer E Kopecky | Social Worker | 18333 Egret Bay Blvd, Ste 270, Houston, TX 77058-6400 | 2005-05-27 |
| 1619463668 | Neuro Health, LLC | Specialist | 18333 Egret Bay Blvd, Houston, TX 77058-3860 | 2018-07-02 |
| 1326591249 | Casey Mansfield | Counselor | 18333 Egret Bay Blvd, Suite 145, Houston, TX 77058-3860 | 2016-07-27 |
| 1386021194 | Premier Neurologics LLC | Surgery | 18333 Egret Bay Blvd, Suite 200, Houston, TX 77058-3860 | 2015-04-30 |
| 1346636230 | Houston Spine & Neurosurgery Center, Pa | Physician Assistant | 18333 Egret Bay Blvd, Suite 200, Houston, TX 77058-3860 | 2015-04-08 |
| 1063829703 | Elizabeth Lopez | Nurse Practitioner | 18333 Egret Bay Blvd, Ste 305, Houston, TX 77058-3860 | 2014-07-15 |
| 1073936431 | Gulf Coast Professional Medical Services, Pllc | Neurological Surgery | 18333 Egret Bay Blvd, Suite 200, Houston, TX 77058-3860 | 2014-01-21 |
| 1316233240 | Janet Wray | Specialist/Technologist, Other | 18333 Egret Bay Blvd, Suite 200, Houston, TX 77058-3860 | 2011-06-20 |
| 1639477748 | Bay Area Integrated Solutions, Pllc | Neurological Surgery | 18333 Egret Bay Blvd, Suite 200, Houston, TX 77058-3860 | 2011-03-14 |
| 1447571484 | John David Nottingham Jr. | Psychiatry & Neurology | 18333 Egret Bay Blvd, Suite 305, Houston, TX 77058-3860 | 2010-06-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
| 1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
| 1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
| 1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
| 1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
| 1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
| 1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
| 1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
| 1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
| 1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
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| 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 |
|---|---|---|---|---|
| 1255949152 | Angelica Rosas-torres | Specialist | 9810 Brick Village Dr, Houston, TX 77095-5072 | 2020-07-16 |
| 1689202004 | Bayou Surgical Assistants Inc | Specialist | 121 N Post Oak Ln Apt 2204, Houston, TX 77024-7717 | 2020-03-31 |
| 1588290761 | Jim Gigante | Specialist | 5607 Fountainbridge Ln, Houston, TX 77069-1917 | 2020-03-19 |
| 1043840044 | Valerie Pedraza | Specialist | 9802d Ella Blvd, Houston, TX 77038-3030 | 2020-01-19 |
| 1386200178 | Thaddieus A Reed | Specialist | 3605 Wilmington St, Houston, TX 77051-3248 | 2019-05-16 |
| 1437617545 | Wellness Institute of Neurodevelopment | Specialist | 5757 Woodway Dr Ste 190, Houston, TX 77057-1526 | 2019-03-07 |
| 1275098568 | Idoc Virtual Telehealth Texas | Specialist | 2311 W Main St, Houston, TX 77098-3218 | 2019-01-31 |
| 1326531708 | Houston Neurology Clinical & Diagnostic Consultants Company | Specialist | 1313 La Concha Ln Ste 130, Houston, TX 77054-1809 | 2018-06-11 |
| 1154840908 | Webster Diagnostics, Pllc | Specialist | 18333 Egret Bay Blvd Ste 200, Houston, TX 77058-3200 | 2017-09-13 |
| 1093242166 | Cns Medical Group | Specialist | 6238 Rietta St, Houston, TX 77016-4338 | 2017-05-18 |
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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.