TMP413LLC (NPI# 1265913057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265913057 |
| Entity Type | Organization |
| Organization Name | TMP413LLC |
| Other Organization Name | CLINICAANGELICA |
| Practice Address |
601 S Wayside Dr # B Houston TX 77011-4603 |
| Mailing Address |
16858 Big Reed Dr Humble TX 77346-4203 |
| Practice Telephone | 8324754430 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Authorized Official Name | EUNICE MBESA (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 8324754430 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1679814115 | 05 |
| Other Name | Type Code |
|---|---|
| ClinicaAngelica | Doing Business As Name - Organization |
| Street Address |
601 S WAYSIDE DR # B |
| City | HOUSTON |
| State | TX |
| Zip Code | 77011-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477820553 | Picc Health Institute LLC | Nurse Practitioner | 5302 Canal Street, Houston, TX 77011 | 2011-11-17 |
| 1417092131 | City of Houston | Clinic/Center | 7037 Capital, Magnolia Health Center, Houston, TX 77011 | 2007-02-20 |
| 1790820413 | Ray Ruth Wheeler | Dentist | 7037 Capitol, Magnolia Dental Clinic, Houston, TX 77011 | 2007-02-20 |
| 1104966142 | Soheila Radan | Dentist | 200 -a S. Wayside, Houston, TX 77011 | 2007-02-07 |
| 1003963349 | Harrisburg Clinic, Inc | Legal Medicine | 5101 Harrisburg Blvd, Houston, TX 77011 | 2007-01-05 |
| 1720581895 | Magnolia Health Center | Dentist | 7037 Capitol, Houston, TX 77011 | 2018-03-14 |
| 1598952038 | Guajardo Clinic Pa | Chiropractor | 6901 Canal St, Houston, TX 77011 | 2007-09-28 |
| 1144365867 | Shu Chiung Wang Chen | Dentist | 7037 Capitol, Houston, TX 77011 | 2007-02-20 |
| 1992935597 | Patricia Melo Hayes | Internal Medicine | 5104 Harrisburg Blvd Ste 800, Houston, TX 77011-0001 | 2009-07-17 |
| 1447717871 | Partners In Primary Care Tx, Pa | Family Medicine | 5104 Harrisburg Blvd Ste 800, Houston, TX 77011-0001 | 2019-02-21 |
| Find all providers in zip 77011 | ||||
| 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 |
| 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 |
| 1841709904 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 1100 Merrill St, Houston, TX 77009-6009 | 2017-09-21 |
| 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.