MARY ROSE AGUSTIN (NPI# 1467846758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467846758 |
| Entity Type | Individual |
| Full Name | MARY ROSE AGUSTIN |
| Credential | AGANCP-BC |
| Practice Address |
12121 Richmond Ave Houston TX 77082-2432 |
| Mailing Address |
13026 Belmont Cir Houston TX 77065-5031 |
| Practice Telephone | 2816798282 |
| Practice Fax Number | 2816798290 |
| Mailing Telephone | 8324230895 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP127065 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12121 RICHMOND AVE |
| City | HOUSTON |
| State | TX |
| Zip Code | 77082-2432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566501 | Bao Quoc H La | Obstetrics & Gynecology | 12121 Richmond Ave, Ste 315, Houston, TX 77082-2437 | 2005-05-23 |
| 1831756105 | Colby Berger | Podiatrist | 12121 Richmond Ave, Houston, TX 77082-2432 | 2019-05-22 |
| 1730646951 | Marzyeh Izadnia | Nurse Practitioner | 12121 Richmond Ave, Houston, TX 77082-2432 | 2019-02-24 |
| 1295267144 | Bobby George | Physician Assistant | 12121 Richmond Ave, St. 307, Houston, TX 77082-2432 | 2017-03-30 |
| 1548710221 | Sunshine Dentistry | Dentist | 12121 Richmond Ave, Ste 426, Houston, TX 77082-2432 | 2016-10-06 |
| 1588010359 | Zachary Zan Stanfield | Podiatrist | 12121 Richmond Ave, Houston, TX 77082-2432 | 2016-05-10 |
| 1104216852 | Fatima E Jaffer Md Pa | Internal Medicine | 12121 Richmond Ave, Suite 420, Houston, TX 77082-2432 | 2015-02-03 |
| 1124436712 | Elizabeth Bailey, Md, Pa | Obstetrics & Gynecology | 12121 Richmond Ave, Suite 416, Houston, TX 77082-2432 | 2014-07-27 |
| 1427479492 | Lei Chu Urology Pllc | Urology | 12121 Richmond Ave, Suite 221, Houston, TX 77082-2432 | 2013-12-18 |
| 1023448990 | Amy Termina | Specialist/Technologist, Other | 12121 Richmond Ave, Suite 201, Houston, TX 77082-2432 | 2013-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1083247571 | Long Tran | Pharmacist | 15842 Clayton Bend Dr, Houston, TX 77082 | 2020-02-13 |
| 1023599412 | Lori Friedman | Physical Therapy Assistant | 3625 Green Crest, Houston, TX 77082 | 2018-08-24 |
| 1548768187 | Ashford Pharmacy Inc. | Pharmacy | 3751 S Dairy Ashford Rd # 102, Houston, TX 77082 | 2018-01-29 |
| 1033625850 | Sarita E Smalley | Chiropractor | 11301 Richmond Ave., Suite K103, Houston, TX 77082 | 2017-12-15 |
| 1366972002 | Tangela Rene Woodland-ballard | Nurse Practitioner | 3751 S. Dairy Ashford Road, Houston, TX 77082 | 2017-06-15 |
| 1730623273 | Global Retel Investments Inc | Home Health | 4018 Green Crest Drive, 4018 Green Crest Drive, Houston, TX 77082 | 2016-12-16 |
| 1538532239 | Ramsome Medical Transportation | Secured Medical Transport (VAN) | 2703 Highway 6, 195, Houston, TX 77082 | 2015-11-04 |
| 1598141962 | Havilla Medical Transportation Services | Non-emergency Medical Transport (VAN) | 13433 Garden Grove, Houston, TX 77082 | 2015-08-07 |
| 1376895565 | Humera Yazdani | Dentist | 2703 South Hwy 6, Suite 147, Houston, TX 77082 | 2012-10-11 |
| Find all providers in zip 77082 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896315 | Mackenzie Brooks Jackson | Nurse Practitioner | 46 N Creekside Ct, Houston, TX 77055-7540 | 2020-09-19 |
| 1003444548 | Evan Brietzke | Nurse Practitioner | 5325 Nina Lee Ln, Houston, TX 77092-5211 | 2020-03-30 |
| 1154955060 | Jacob Tyler Parrish | Nurse Practitioner | 10918 Sagevale Ln, Houston, TX 77089-3709 | 2020-02-29 |
| 1609409903 | Francoise Le | Nurse Practitioner | 6411 Fannin St # J1-400, Houston, TX 77030-1501 | 2020-02-15 |
| 1346873650 | Marcus Patrick Bautista | Nurse Practitioner | 6770 Bertner Ave Ste C355, Houston, TX 77030-2604 | 2020-02-14 |
| 1235786161 | Marcia Wilbourn | Nurse Practitioner | 14342 Cranbrook Creek Ln, Houston, TX 77044-6069 | 2019-08-26 |
| 1548815871 | Molly A Varghese | Nurse Practitioner | 10043 Rhiney Ct, Houston, TX 77089-7045 | 2019-08-05 |
| 1801358122 | Elizabeth Duran | Nurse Practitioner | 6720 Bertner Ave # O-520, Houston, TX 77030-2604 | 2019-04-04 |
| 1497213458 | Shealynn Walker | Nurse Practitioner | 3800 Tanglewilde St Apt 1004, Houston, TX 77063-5163 | 2019-03-08 |
| 1568927002 | Lucia Belleza Delapaz | Nurse Practitioner | 6624 Fannin St Ste 1630, Houston, TX 77030-2328 | 2019-02-08 |
| 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.