DR. TEWODROS WOLDEMARIAM TEKETEL (NPI# 1386070159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386070159 |
| Entity Type | Individual |
| Full Name | DR. TEWODROS WOLDEMARIAM TEKETEL |
| Other Name | DR. TEWODROS W TEKETEL |
| Credential | M.D. |
| Practice Address |
25311 Kingsland Blvd Ste 190 Katy TX 77494-7349 |
| Practice Telephone | 8324476454 |
| Mailing Telephone | 8324476454 |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Q9058 | TX | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | A128719 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | Q9058 | TX | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 31st Street, 1411, Oakland, CA 94602 | 5104374800 |
| Street Address |
25311 KINGSLAND BLVD STE 190 |
| City | KATY |
| State | TX |
| Zip Code | 77494-7349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386100782 | Mercy-teddy Health Care Pllc | Clinic/Center | 25311 Kingsland Blvd Ste 190, Katy, TX 77494-7349 | 2019-02-11 |
| 1609330950 | Mercy-teddy Health Care LLC | General Practice | 25311 Kingsland Blvd Ste 190, Katy, TX 77494-7349 | 2019-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262711 | Medicus Internal Medicine & Primary Care Pllc | Internal Medicine | 2822 Dogwood Terrace Ln, Katy, TX 77494-7166 | 2020-10-09 |
| 1114566023 | Perfect Lifestyle | Internal Medicine | 25722 Kingsland Blvd Ste 205, Katy, TX 77494-2643 | 2019-12-26 |
| 1891253381 | Mufaddal Medical Consulting Pllc | Internal Medicine | 19121 W Little York Rd Ste B, Katy, TX 77449-5841 | 2019-03-04 |
| 1861962508 | Sagitario Med LLC | Internal Medicine | 23945 Franz Rd Ste F, Katy, TX 77493-2047 | 2018-11-26 |
| 1235617564 | Knee Medical Pa | Internal Medicine | 431 Mason Park Blvd Ste C, Katy, TX 77450-6234 | 2018-07-30 |
| 1316454499 | Laxman Kalvakuntla Md Pllc | Internal Medicine | 830 S Mason Rd Ste A4, Katy, TX 77450-3863 | 2018-01-10 |
| 1164933958 | Medical Clinic At The Ranch Pllc | Internal Medicine | 9555 Spring Green Blvd, Suite H, Katy, TX 77494-3462 | 2017-10-19 |
| 1710346630 | Inyang Ndebbio | Internal Medicine | 3218 Raintree Village Dr, Katy, TX 77449-7023 | 2016-02-19 |
| 1508247842 | Samira Khan | Internal Medicine | 633 E Fernhurst Dr Ste 202, Katy, TX 77450-1586 | 2015-06-12 |
| 1073903449 | Tao Ho Mht LLC | Internal Medicine | 4019 Oakwood Rock Ln, Katy, TX 77494-2697 | 2015-01-23 |
| Find all providers in KATY | ||||
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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.