MEDILINE WELLNESS AND DIAGNASTIC (NPI# 1285877365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285877365 |
| Entity Type | Organization |
| Organization Name | MEDILINE WELLNESS AND DIAGNASTIC |
| Practice Address |
6550 Mapleridge Street #214 Houston TX 77081 |
| Mailing Address |
6550 Mapleridge St Ste 214 Houston TX 77081-4647 |
| Practice Telephone | 7136690848 |
| Practice Fax Number | 7136690648 |
| Mailing Telephone | 7136690438 |
| Mailing Fax Number | 7136690648 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |
| Authorized Official Name | MR. EMMANUEL M LORD (ADMINISRATOR) |
| Authorized Official Telephone | 7136690848 |
| Authorized Official Credential | MR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
6550 MAPLERIDGE STREET #214 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518461961 | Ahmed Elakkad | Radiology | 5704 Edgemoor Dr Apt 90, Houston, TX 77081 | 2018-03-21 |
| 1518471804 | Leslie Marquez | Nurse Practitioner | 6121 Hillcroft St Ste O, Houston, TX 77081 | 2017-11-22 |
| 1841704236 | Erick Noel Montoya Roll | Specialist/Technologist, Other | 5760 Gulfton St Apt 1549, Houston, TX 77081 | 2017-11-22 |
| 1023537743 | Pro Med Rx | Pharmacy | 5716 Bellaire Bldv, Ste. J, Houston, TX 77081 | 2017-09-13 |
| 1831627918 | Ali Ahmed Abdelkhalek Baiomy | Radiology | 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 | 2017-06-01 |
| 1033657002 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 5505 West Loop S Ste 100, Houston, TX 77081 | 2017-02-09 |
| 1982148854 | Greater Houston Psychiatric Associates | Psychologist | 4888 Loop Central Dr, Ste 510, Houston, TX 77081 | 2016-12-13 |
| 1184075657 | Kimble Elisabeth Chentnik | Optometrist | 6699 Chimney Rock, Suite 201, Houston, TX 77081 | 2016-06-27 |
| 1780042226 | Graves Community Health Clinic | Clinic/Center | 6910 Chetwood Dr. Ste. B, Houston, TX 77081 | 2016-01-28 |
| 1588058432 | Mi Rae Kim | Nurse Practitioner | 5420 Dashwood Dr Ste 100, Houston, TX 77081 | 2015-03-27 |
| Find all providers in zip 77081 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662667 | Journey To Recovery LLC | Clinic/Center | 2815 W T C Jester Blvd Ste 102, Houston, TX 77018-7049 | 2020-09-04 |
| 1174143002 | Ultimate Pain Solutions, P.l.l.c. | Clinic/Center | 9700 Richmond Ave Ste 120, Houston, TX 77042-4697 | 2020-04-21 |
| 1770124042 | William Shepherd | Clinic/Center | 16800 Imperial Valley Dr, Houston, TX 77060-3159 | 2019-10-08 |
| 1114570199 | Neurology Practice Group, Pllc | Clinic/Center | 2711 Ferndale Street, Houston, TX 77098 | 2019-07-19 |
| 1881152965 | Bear Creek Medical Center, Inc. | Clinic/Center | 4521 Highway 6 N Ste C, Houston, TX 77084-3479 | 2019-03-07 |
| 1710443627 | Total Life of Houston, LLC Dba J Flowers Health Institute | Clinic/Center | 1750 Sky Lark Ln Unit 2918, Houston, TX 77056-3747 | 2019-02-15 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1205326022 | Abacus Ime LLC | Clinic/Center | 1240 Blalock Rd Ste 190, Houston, TX 77055-6451 | 2018-05-17 |
| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
| 1336650860 | Fast Recovery Healthcare Center LLC | Clinic/Center | 6260 Westpark Dr Ste 300h, Houston, TX 77057-7353 | 2017-10-24 |
| 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.