PRISTINE PEDIATRICS & FAMILY MEDICINE CLINIC LLC (NPI# 1427521525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427521525 |
| Entity Type | Organization |
| Organization Name | PRISTINE PEDIATRICS & FAMILY MEDICINE CLINIC LLC |
| Practice Address |
13523 Hargrave Rd Houston TX 77070-3829 |
| Practice Telephone | 2812064496 |
| Practice Fax Number | 2812064487 |
| Mailing Telephone | 2812064496 |
| Mailing Fax Number | 2812064487 |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | DR. IYABODE OGUNLADE (OWNER) |
| Authorized Official Telephone | 2812064496 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 411162702 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 20138 Schiel Rd, Cypress, TX 774334230 | 2812064496 | 2812064487 |
| 6617 Fm 2920 Rd, Spring, TX 773792636 | 2812064496 | 2812064487 |
| Street Address |
13523 HARGRAVE RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77070-3829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164743001 | Sabeena Urooj Rahman | Obstetrics & Gynecology | 13523 Hargrave Rd, Houston, TX 77070-3829 | 2010-06-15 |
| 1215473095 | Pristine Birth & Wellness Center LLC | Clinic/Center | 13523 Hargrave Rd, Houston, TX 77070-3829 | 2017-01-17 |
| 1932594157 | Azka Ashraf | Obstetrics & Gynecology | 13523 Hargrave Rd, Houston, TX 77070-3829 | 2015-04-03 |
| 1518351527 | Jessica Barrera | Obstetrics & Gynecology | 13523 Hargrave Rd, Houston, TX 77070-3829 | 2015-03-27 |
| 1508201633 | Jacqueline Monique Placette | Obstetrics & Gynecology | 13523 Hargrave Rd, Houston, TX 77070-3829 | 2013-05-02 |
| 1346514619 | Pristine Ob-gyn Care Pllc | Clinic/Center | 13523 Hargrave Rd, Houston, TX 77070-3829 | 2012-03-02 |
| 1477832442 | Ashraf Albert Garas Elmeery | Pediatrics | 13523 Hargrave Rd, Houston, TX 77070-3829 | 2011-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962666 | Polyanna De La Garza Optometrist Pllc | Optometrist | 22438 Tomball Parkway, Houston, TX 77070 | 2020-04-28 |
| 1871113837 | Carolyn Hong Nguyen | Radiology | 18220 Tx 249, Houston, TX 77070 | 2020-04-20 |
| 1942831268 | Rea May Roque Danao | Registered Nurse | 18220 Tx-249, Houston, TX 77070 | 2020-01-27 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1851944300 | Oculus Cypresswood, LLC | Optometrist | Hwy 249 & Cypresswood, Houston, TX 77070 | 2019-07-23 |
| 1740832310 | Oculus Cypresswood, LLC | Optometrist | Highway 249 & Cypresswood, Houston, TX 77070 | 2019-07-12 |
| 1750846176 | Karen Fletcher | Occupational Therapy Assistant | Silverado Vintage Preserve, 10120 Louette Rd, Houston, TX 77070 | 2019-02-11 |
| 1154803518 | Geraldine Santillan Villanueva | Physical Therapist | 13220 Breton Ridge St., Houston, TX 77070 | 2018-09-02 |
| 1467945865 | Pure G Kids, LLC | Clinic/Center | 21175 Tomball Pkwy Ste 379, Houston, TX 77070 | 2018-06-11 |
| 1063902518 | Stephanie Leona Bloodworth | Marriage & Family Therapist | 9950 Cypresswood Dr Ste 214, Houston, TX 77070 | 2018-05-10 |
| Find all providers in zip 77070 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908131 | Cesar A Ortega Md Pa | Pediatrics | 3309 Orlando St, Houston, TX 77093-4854 | 2020-09-30 |
| 1821612276 | Rainbow Pediatrics of Houston, Pllc. | Pediatrics | 12822 Veterans Memorial Dr, Houston, TX 77014-2049 | 2020-06-02 |
| 1730651688 | Jennifer Anne Sauve | Pediatrics | 3131 Timmons Ln Apt 1124, Houston, TX 77027-6075 | 2018-12-17 |
| 1972071207 | Peekaboo Pediatrics | Pediatrics | 1740 W 27th St Ste 305, Houston, TX 77008-1437 | 2018-11-05 |
| 1235605064 | Bola Olasunkanmi Jaiyeola | Pediatrics | 8338 W Sam Houston Pkwy S Ste 198, Houston, TX 77072-5088 | 2018-10-19 |
| 1013498690 | Ut Physicians Specialty Services | Pediatrics | 5516 Lockwood Dr., Houston, TX 77026-1919 | 2018-08-22 |
| 1366928418 | Ut Physicians Specialty Services | Pediatrics | 9105 N. Wayside Dr., Houston, TX 77028-1030 | 2018-07-12 |
| 1811486814 | Cypress Creek Pediatric Clinic | Pediatrics | 4560 Cypress Creek Pkwy Ste 100, Houston, TX 77069-4628 | 2018-05-04 |
| 1568963049 | Elizabeth Renee Holland | Pediatrics | 1875 Post Oak Park Dr Apt 721, Houston, TX 77027-3471 | 2018-02-21 |
| 1427579366 | Ut Physicians | Pediatrics | 9801 Long Point Rd, Houston, TX 77055-4188 | 2017-06-30 |
| 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.