TEXAS PEDIATRIC CLINIC (NPI# 1295041820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295041820 |
| Entity Type | Organization |
| Organization Name | TEXAS PEDIATRIC CLINIC |
| Practice Address |
4560 Fm 1960 Rd W Ste 102 Houston TX 77069-4627 |
| Practice Telephone | 2814441600 |
| Practice Fax Number | 2814446158 |
| Mailing Telephone | 2814441600 |
| Mailing Fax Number | 2814446158 |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | MRS. ROBBIE PORRAS (BILLING SUPERVISOR) |
| Authorized Official Telephone | 2814440000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
L6682 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 174243901 | 05 |
| Street Address |
4560 FM 1960 RD W STE 102 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77069-4627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922056183 | Thrity B Desai | Pediatrics | 4560 Fm 1960 Rd W, Ste 101, Houston, TX 77069-4628 | 2006-05-04 |
| 1679737431 | Gregory A Peco | Physician Assistant | 4560 Fm 1960 Rd W, Ste 102, Houston, TX 77069-4627 | 2008-07-10 |
| 1104967025 | Nalina Chandrasekharan | Pediatrics | 4560 Fm 1960 Rd W, Ste 101, Houston, TX 77069-4627 | 2007-02-12 |
| 1750312138 | Eliza Trevino-beene | Pediatrics | 4560 Fm 1960 Rd W, Suite 102, Houston, TX 77069-4627 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080659 | Brittanny Lea Gormer | Behavior Technician | 4606 Farm To Market 1960 Rd W Suite 419, Houston, TX 77069 | 2019-02-21 |
| 1417452889 | Kenyatta Robinson | Nurse Practitioner | 5603 Farm To Market 1960 Rd W, Houston, TX 77069 | 2018-03-28 |
| 1962921155 | Chew Transportation | Non-emergency Medical Transport (VAN) | 13313 Cutten Rd., Apt. 2203, Houston, TX 77069 | 2017-09-19 |
| 1639697071 | Nancy Wade | Behavior Technician | 13313 Cutten Rd. Apt. 2203, Houston, TX 77069 | 2017-09-06 |
| 1649716432 | Fresh Start Therapeutic Services LLC | Counselor | 5222 Fm 1960 Rd W Ste 175, Houston, TX 77069 | 2017-01-17 |
| 1568919017 | Jasmine Ned | Home Health Aide | 5959 1960 W Rd, Apt 621, Houston, TX 77069 | 2016-09-01 |
| 1528415007 | Gracesprings Healthcare Services | Day Training, Developmentally Disabled Services | 4606 Fm 1960 Rd W, Ste 322, Houston, TX 77069 | 2016-05-16 |
| 1164887923 | Beatrice Huong Pham | Pharmacist | 7075 Fm1960 W., Houston, TX 77069 | 2015-12-22 |
| 1659746675 | Stediclinic Pllc | Nurse Practitioner | 4560 Fm 1960 Rd W Ste 106, Houston, TX 77069 | 2015-12-02 |
| 1053719799 | Mann Eye Center, Pa | Optometrist | 6927 Fm 1960 West, Suite D, Houston, TX 77069 | 2014-12-11 |
| Find all providers in zip 77069 | ||||
| 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 |
| 1265913057 | Tmp413llc | Clinic/Center | 601 S Wayside Dr # B, Houston, TX 77011-4603 | 2018-08-28 |
| 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 |
| 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.