MEDSTAR PRIMARY CARE CLINIC P.A. (NPI# 1508015835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508015835 |
| Entity Type | Organization |
| Organization Name | MEDSTAR PRIMARY CARE CLINIC P.A. |
| Other Organization Name | MEDSTAR PRIMARY CARE CLINIC |
| Practice Address |
14629 Beechnut St Houston TX 77083-4436 |
| Practice Telephone | 2819334447 |
| Practice Fax Number | 2819335557 |
| Mailing Telephone | 2819334447 |
| Mailing Fax Number | 2819335557 |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-12-30 |
| Authorized Official Name | DR. RACHEL CHUNDENU KIENTCHA - TITA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8325454614 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
M9410 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medstar Primary care Clinic | Doing Business As Name - Organization |
| Street Address |
14629 BEECHNUT ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77083-4436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306919162 | Rachel Chundenu Kientcha -tita | Emergency Medicine | 14629 Beechnut St, Houston, TX 77083-4436 | 2006-11-17 |
| 1386114312 | Ddfnp Pllc | Nurse Practitioner | 14629 Beechnut St, Houston, TX 77083-4436 | 2018-12-03 |
| 1417496480 | Redland Medical Group | Family Medicine | 14629 Beechnut St, Houston, TX 77083-4436 | 2017-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1225663495 | Hopeful Living Center | Psychologist | 9906 Kingsville Park Drive, Houston, TX 77083 | 2020-03-09 |
| 1053953851 | Dthealth, Pllc | Clinic/Center | 13218 Bellaire Blvd, Houston, TX 77083 | 2019-10-13 |
| 1659938413 | Bernadette Ebelechukwu Ekwutife | Registered Nurse | 9715 El Pico Drive, Sugar Land, TX 77083 | 2019-05-28 |
| 1356805089 | Paulant Health & Allied Services Inc. | Home Health | 7207 Crimson Sky Drive, Houston, TX 77083 | 2019-01-28 |
| 1457832537 | Elizabeth Nwakaego Nwosu | Registered Nurse | 4125 San Dimas Drive, Houston, TX 77083 | 2018-08-27 |
| 1003397423 | Chawntel Rene Walker-carter | Licensed Practical Nurse | 7514 San Dimas Sr, Houston, TX 77083 | 2018-08-23 |
| 1508343773 | Martin Nguyen | Dentist | 9203 S Texas Highway 6, Suite #114, Houston, TX 77083 | 2018-07-20 |
| 1477054930 | Joe Jacob | Registered Nurse | 8231 Sonesta Point Lane, Houston, TX 77083 | 2018-02-21 |
| 1730692393 | Martha Jaimes | Case Manager/Care Coordinator | 7515 Tremendo Dr, Houston, TX 77083 | 2017-11-06 |
| Find all providers in zip 77083 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202800 | Devoted Medical Group of Texas, Inc. | Clinic/Center | 20405 State Highway 249 Ste 325, Houston, TX 77070-2893 | 2020-10-13 |
| 1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
| 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.