HANSA B. MEDLEY M.D. (NPI# 1346632908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346632908 |
| Entity Type | Organization |
| Organization Name | HANSA B. MEDLEY M.D. |
| Practice Address |
3920 Braxton Dr Ste 108 Houston TX 77063-6304 |
| Practice Telephone | 7137822156 |
| Practice Fax Number | 7137825054 |
| Mailing Telephone | 7137822156 |
| Mailing Fax Number | 7137825054 |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |
| Authorized Official Name | MRS. CARRETTA L MWESIGA (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 7137822156 |
| Authorized Official Credential | MSN, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AP127227 | TX | Ambulatory Health Care Facilities |
| Street Address |
3920 BRAXTON DR STE 108 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77063-6304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443266 | Diagnostic Enterprises | Clinical Medical Laboratory | 2540 Fondren Road, Suite 265, Houston, TX 77063 | 2020-07-06 |
| 1184247926 | Two Hands Pllc | Day Training, Developmentally Disabled Services | 3945 Braxton Dr Ste 1, Houston, TX 77063 | 2020-05-27 |
| 1700445376 | Diana Carter | Licensed Vocational Nurse | 1602 S City Oak Ln, Houston, TX 77063 | 2019-06-07 |
| 1952964264 | Pamela Lowrance | Specialist | 8401 Westhiemer Rd. #503, Inside Blue Lion Salon Studios, Houston, TX 77063 | 2019-04-22 |
| 1104381649 | Jaileen Grullon | Physical Therapy Assistant | 9638 Beverlyhill Street, Houston, TX 77063 | 2019-02-08 |
| 1134696826 | Adriane De Freitas Barroso | Psychologist | 7670 Woodway Dr Ste 360, Houston, TX 77063 | 2018-10-31 |
| 1740765932 | Sean A Maxwell | Physical Therapist | 2500 Fondern Road, Suite 302, Houston, TX 77063 | 2018-10-03 |
| 1578065074 | Johannah Sommer Garza | Psychologist | 7660 Woodway Dr Ste 599, Houston, TX 77063 | 2018-03-01 |
| 1477069995 | Modern Med Health Solutions LLC | Nurse Practitioner | 9950 Westpark Dr Ste 312, Houston, TX 77063 | 2017-12-20 |
| 1306360177 | Desmond Eugene Blake Sr. | Specialist | 3201 Fondren Rd, Houston, TX 77063 | 2017-08-02 |
| Find all providers in zip 77063 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 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.