MS. MIMI CHANDRABOSE (NPI# 1336402700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336402700 |
| Entity Type | Individual |
| Full Name | MS. MIMI CHANDRABOSE |
| Credential | PA-C |
| Practice Address |
3003 S Loop W 210 Houston TX 77054-1301 |
| Practice Telephone | 7136629500 |
| Practice Fax Number | 7136629501 |
| Mailing Telephone | 7136629500 |
| Mailing Fax Number | 7136629501 |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA06143 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3003 S LOOP W 210 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093714388 | Truc Le Jr. | Family Medicine | 3003 S Loop W, Suite 210, Houston, TX 77054-1301 | 2005-07-19 |
| 1497376461 | Simon Onyebuchi Onuegbu | Nurse Practitioner | 3003 S Loop W, Houston, TX 77054-1301 | 2020-05-01 |
| 1093238362 | Admore Behavioral Therapy | Case Management | 3003 S Loop W, 320, Houston, TX 77054 | 2017-07-19 |
| 1033658281 | Shanna C Gardner | Counselor | 3003 S Loop W, Suite 475, Houston, TX 77054-1301 | 2017-02-21 |
| 1962867176 | Med Center Rad Investments, LLC | Clinic/Center | 3003 S Loop W, Suite 140, Houston, TX 77054-1301 | 2015-12-15 |
| 1841661279 | Heal Thy Body Pllc | Chiropractor | 3003 S Loop W, Suite 540, Houston, TX 77054-1301 | 2015-10-12 |
| 1730567322 | Continuum Integrated Health Services Inc | Clinic/Center | 3003 S Loop W, Suite 475, Houston, TX 77054-1301 | 2015-05-14 |
| 1710387493 | Nazia Islam | Counselor | 3003 S Loop W, Suite 475, Houston, TX 77054-1301 | 2014-08-29 |
| 1700135035 | Ramiro Hernandez | Psychiatry & Neurology | 3003 S Loop W, Suite 505, Houston, TX 77054-1301 | 2012-08-31 |
| 1639426356 | Chad A Touchette | Marriage & Family Therapist | 3003 S Loop W, 475, Houston, TX 77054-1301 | 2012-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
| Find all providers in zip 77054 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1720649478 | Teresa Garcia | Physician Assistant | 12911 Hawthorne Shores Dr, Houston, TX 77044-1258 | 2019-06-24 |
| 1407328578 | Brenda Guzman Castillo | Physician Assistant | 3003 Navigation Boulevard, Houston, TX 77003 | 2018-12-29 |
| 1518442649 | Alexander De Jesus Hadded | Physician Assistant | 3651 Weslayan St Ste 106, Houston, TX 77027-6643 | 2018-09-25 |
| 1003395872 | Silas Steven Luna | Physician Assistant | 427 W 20th St Ste 210, Houston, TX 77008-2400 | 2018-08-12 |
| 1619490901 | Dona Le | Physician Assistant | 11119 Fern Terrace Dr, Houston, TX 77075 | 2017-07-19 |
| 1043761455 | Lorena Michelle Sumner-nassif | Physician Assistant | 9809 Rowlett Rd # A1, Houston, TX 77075-3438 | 2016-10-20 |
| 1851760243 | Lauren K Duerst | Physician Assistant | 6550 Fannin St Ste 1701, Houston, TX 77030-2709 | 2015-09-16 |
| 1982081568 | Lundy Saing | Physician Assistant | 6431 Fannin St Msb 2.130, Houston, TX 77030 | 2015-05-02 |
| 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.