SELENE MENDOZA DOMINGUEZ (NPI# 1356838965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356838965 |
| Entity Type | Individual |
| Full Name | SELENE MENDOZA DOMINGUEZ |
| Credential | FNP |
| Practice Address |
3420 Woodridge Dr Houston TX 77087-3735 |
| Mailing Address |
17021 Mercado Dr Houston TX 77083-3650 |
| Practice Telephone | 7139232273 |
| Mailing Telephone | 2819350489 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP136183 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3420 WOODRIDGE DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77087-3735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255761326 | Santa Clara Family Clinic Pllc | Pediatrics | 3420 Woodridge Dr, Houston, TX 77087-3735 | 2013-11-26 |
| 1013569680 | Francisco J Ayala | Nurse Practitioner | 3420 Woodridge Dr, Houston, TX 77087-3735 | 2019-07-12 |
| 1487140588 | Amanda Michelle Pena | Nurse Practitioner | 3420 Woodridge Dr, Houston, TX 77087-3735 | 2018-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194350918 | Kirtan Patel | Student in an Organized Health Care Education/Training Program | 8447 Riverside Parkway, Bryan, TX 77087 | 2020-03-12 |
| 1902431232 | Jakelyn Esmeralda Alfaro | Family Medicine | 3420 Woodrridge Dr., Houston, TN 77087 | 2020-03-06 |
| 1518509827 | Paul Torres | Technician | 7002 Hemlock Apt. #1, Houston, TX 77087 | 2019-10-09 |
| 1841849254 | Shirley M Stredic | Technician | 6631 Reed Rd., Houston, TX 77087 | 2019-09-09 |
| 1376046342 | Priscilla Marie Williams | Personal Emergency Response Attendant | Mtss-priscilla: 5921 Northdale Rd Houtx 77087, Houston, TX 77087 | 2018-03-15 |
| 1639688187 | Ebony Iheanacho | Case Manager/Care Coordinator | 7011 Village Way #410, Houston, TX 77087 | 2017-09-27 |
| 1316300908 | Journey Through Life Tx LLC | Counselor | 7151 Office City Dr, Houston, TX 77087 | 2016-03-31 |
| 1528427531 | Katherine Winlin Tsai | Pharmacist | 3111 Woodridge, Ste. 500, Houston, TX 77087 | 2016-02-18 |
| 1134517428 | Gulfgate Kidney Center, LLC | Clinic/Center | 2916 Woodridge Dr, Houston, TX 77087 | 2015-01-08 |
| 1639577372 | Mann Eye2 20/20 Express | Optometrist | 2903 Woodbridge, Suite1290, Houston, TX 77087 | 2014-12-11 |
| Find all providers in zip 77087 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1104426311 | Erin Krim Gordon | Nurse Practitioner | 2202 Quenby St, Houston, TX 77005-1502 | 2020-10-27 |
| 1003415902 | Hope Ozumba | Nurse Practitioner | 8544 Dairy View Ln, Houston, TX 77072-3907 | 2020-10-21 |
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1962001362 | Eshcol Clinic | Nurse Practitioner | 9935 Bissonnet St Unit B, Houston, TX 77036-8413 | 2020-10-19 |
| 1013516483 | Shazia Mominkhawaja | Nurse Practitioner | 2222 Greenhouse Rd Ste 400, Houston, TX 77084-7288 | 2020-10-18 |
| 1851908610 | Iyobo Elegon | Nurse Practitioner | 8511 Dawnridge Dr, Houston, TX 77071-2441 | 2020-09-25 |
| 1548877541 | Lifespan Psychiatry and Wellness Center Pllc | Nurse Practitioner | 8700 Commerce Park Dr Ste 220, Houston, TX 77036-7431 | 2020-09-24 |
| 1811503345 | Alyssa Cory Hildebrand | Nurse Practitioner | 2450 Fondren Rd Ste 111, Houston, TX 77063-2314 | 2020-09-21 |
| 1245846088 | Adriana Ortiz | Nurse Practitioner | 7218 Shady Corners Ln, Houston, TX 77040-4733 | 2020-09-17 |
| 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.