CARL C MAYBERRY (NPI# 1538241567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538241567 |
| Entity Type | Individual |
| Full Name | CARL C MAYBERRY |
| Credential | PHYSICIANS ASSISTANT |
| Practice Address |
4900 Fannin St Houston TX 77004-5706 |
| Practice Telephone | 7135269821 |
| Practice Fax Number | 7135264680 |
| Mailing Telephone | 7134463018 |
| Mailing Fax Number | 7135264680 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA01360 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508210287 | Carl Mayberry | Radiologic Technologist | Madigan Army Medical Ctr, 9040 Jackson Ave, Tacoma, WA 98431-1100 | 2016-04-19 |
| Street Address |
4900 FANNIN ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77004-5706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366436263 | Joseph Clayton Gathe Jr. | Internal Medicine | 4900 Fannin St, Houston, TX 77004-5706 | 2005-09-07 |
| 1871620070 | Joseph C.gathe,jr.,m.d.,p.a | Specialist | 4900 Fannin St, Houston, TX 77004-5706 | 2007-02-27 |
| 1609984616 | Therapeutic Concepts, P.a. | Clinic/Center | 4900 Fannin St, Houston, TX 77004-5706 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366081622 | University of Houston | Community Health Worker | 4649 Calhoun Rd, Ste 342, Houston, TX 77004 | 2020-01-03 |
| 1205487394 | Sharon B Robinson | Technician | 3405 Drew Apt. #1, Houston, TX 77004 | 2019-09-20 |
| 1386206209 | H-e-b, Lp | Clinical Medical Laboratory | 6055 South Freeway, Houston, TX 77004 | 2019-07-01 |
| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
| 1922541275 | Rita Assi | Student in an Organized Health Care Education/Training Program | 4407 Austin Street, Houston, TX 77004 | 2016-11-18 |
| 1396291001 | Yoon Jung Park | Nurse Practitioner | 1200 Binz St #1040, Houston, TX 77004 | 2016-09-01 |
| 1962869339 | Elite One Direct | Home Health | 3501 Chenevert, 24, Houston, TX 77004 | 2016-01-15 |
| 1750624391 | Houston Skin Cancer Associates, Pllc | Dermatology | 1401 Binz Street, Suite 200, Houston, TX 77004 | 2013-04-02 |
| 1508109273 | Akwete Riley | Speech-Language Pathologist | 2712 Isabella, Houston, TX 77004 | 2013-04-01 |
| 1831437003 | Lonestar Dental Emergency Care, PC | Dentist | 5445 Almeda Rd, Ste. 300, Houston, TX 77004 | 2013-01-23 |
| Find all providers in zip 77004 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1720649478 | Teresa Garcia | Physician Assistant | 12911 Hawthorne Shores Dr, Houston, TX 77044-1258 | 2019-06-24 |
| 1407328578 | Brenda Guzman Castillo | Physician Assistant | 3003 Navigation Boulevard, Houston, TX 77003 | 2018-12-29 |
| 1518442649 | Alexander De Jesus Hadded | Physician Assistant | 3651 Weslayan St Ste 106, Houston, TX 77027-6643 | 2018-09-25 |
| 1003395872 | Silas Steven Luna | Physician Assistant | 427 W 20th St Ste 210, Houston, TX 77008-2400 | 2018-08-12 |
| 1619490901 | Dona Le | Physician Assistant | 11119 Fern Terrace Dr, Houston, TX 77075 | 2017-07-19 |
| 1043761455 | Lorena Michelle Sumner-nassif | Physician Assistant | 9809 Rowlett Rd # A1, Houston, TX 77075-3438 | 2016-10-20 |
| 1851760243 | Lauren K Duerst | Physician Assistant | 6550 Fannin St Ste 1701, Houston, TX 77030-2709 | 2015-09-16 |
| 1982081568 | Lundy Saing | Physician Assistant | 6431 Fannin St Msb 2.130, Houston, TX 77030 | 2015-05-02 |
| 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.