PHYSICIANS MEDICAL GROUP OF HOUSTON PLLC (NPI# 1629531405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629531405 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS MEDICAL GROUP OF HOUSTON PLLC |
| Practice Address |
510 W Tidwell Rd Houston TX 77091-4339 |
| Mailing Address |
Po Box 4346 Houston TX 77210-4346 |
| Practice Telephone | 2816188500 |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |
| Authorized Official Name | JOSEPH VARON (MANAGING PARTNER) |
| Authorized Official Telephone | 2816188500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
510 W TIDWELL RD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77091-4339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245234616 | Mario Cervantes-vazquez | Pathology | 510 W Tidwell Rd, Houston, TX 77091-4339 | 2005-06-13 |
| 1417321738 | C&p Anesthesiology Pllc | Anesthesiology | 510 W Tidwell Rd, Houston, TX 77091-4339 | 2015-11-24 |
| 1659745693 | North Medical Services, Pllc | Anesthesiology | 510 W Tidwell Rd, Houston, TX 77091-4339 | 2015-11-13 |
| 1952641227 | Syed Hyder H. Jaffery, M.d., Pllc. | Internal Medicine | 510 W Tidwell Rd, Houston, TX 77091-4339 | 2013-02-25 |
| 1497091995 | Cardinal Anesthesia Management Services, LLC | Anesthesiology | 510 W Tidwell Rd, Houston, TX 77091-4339 | 2013-01-02 |
| 1306100961 | Akala Imaging, LLC | Radiology | 510 W Tidwell Rd, Radiology Department, Houston, TX 77091-4339 | 2012-06-28 |
| 1316252927 | Northside Pathology Group Pllc | Pathology | 510 W Tidwell Rd, Pathology / Laboratory, Houston, TX 77091-4339 | 2010-08-09 |
| 1649597931 | Northside Pathology Group, Pllc | Pathology | 510 W Tidwell Rd, Pathology Dept., Houston, TX 77091-4339 | 2010-04-26 |
| 1033432208 | Rasika R. Dhekne M.d.p.a. | Pathology | 510 W Tidwell Rd, Pathology Department, Houston, TX 77091-4339 | 2010-03-02 |
| 1063672111 | Ayesha Maryam Mccoy | Anesthesiology | 510 W Tidwell Rd, Houston, TX 77091-4339 | 2008-06-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917423 | Leggett Prosthetics LLC | Prosthetic/Orthotic Supplier | 1019 Homer St, Houston, TX 77091 | 2020-03-13 |
| 1124653688 | Convenient Urgent Care Pllc | Clinic/Center | 413 W Parker Rd, Suite B, Houston, TX 77091 | 2020-03-05 |
| 1033605977 | Michelle Ting Yu | Registered Nurse | 5207 Brinkman Ct, Houston, TX 77091 | 2018-07-03 |
| 1427575075 | Arden David Breaux II | Assisted Living Facility | 898 1/2 Granville Drive, Houston, TX 77091 | 2017-08-24 |
| 1366873903 | Doctors Anesthesia Tidwell Pllc | Anesthesiology | 5010 West Tidwell Rd, Houston, TX 77091 | 2013-12-09 |
| 1750710075 | Filling The Gap Adult Day Care LLC | Clinic/Center | 6734 Antoine Dr, Houston, TX 77091 | 2013-11-07 |
| 1780027631 | An Angel's Touch & More | Foster Care Agency | 6805 Apollo St., Houston, TX 77091 | 2013-04-10 |
| 1053666990 | Lucas Ego Egebe | Nurse Practitioner | 6846 Antoine Dr, Houston, TX 77091 | 2012-07-17 |
| 1689979239 | Shirley Ann Riley | Counselor | 5414 Goldspire, Houston, TX 77091 | 2011-01-12 |
| 1720317233 | Nhan V Nguyen | Pharmacist | 6926 Antoine Dr., Houston, TX 77091 | 2009-12-11 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871129247 | Texmed Corp | Emergency Medicine | 14770 Memorial Drive Suite 100, Houston, TX 77079-5252 | 2020-03-18 |
| 1548894751 | Emergency Medicine Physician of Houston | Emergency Medicine | 4000 Washington Ave Ste 100, Houston, TX 77007-5676 | 2020-02-26 |
| 1912472929 | Bellaire Emergency Center, LLC | Emergency Medicine | 5413 S Rice Ave, Houston, TX 77081-2113 | 2018-10-05 |
| 1295200202 | Copperfield Emergency Center, LLC | Emergency Medicine | 5835 Highway 6 N, Houston, TX 77084-1833 | 2018-10-05 |
| 1285109298 | 1960 Emergency Center, LLC | Emergency Medicine | 5003 Cypress Creek Pkwy, Houston, TX 77069-4502 | 2018-10-05 |
| 1992294748 | Khalid Mohammed S Alhamdan | Emergency Medicine | 1504 Taub Loop # I, Houston, TX 77030-1608 | 2018-05-08 |
| 1861981920 | Chloe Woodington | Emergency Medicine | 1504 Taub Loop Emergency Center, Houston, TX 77030 | 2018-05-04 |
| 1497250757 | Westchase Emergency Center, LLC | Emergency Medicine | 11103 Westheimer Rd, Houston, TX 77042 | 2018-03-28 |
| 1932617768 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 13550 East Fwy, Houston, TX 77015-5926 | 2018-01-15 |
| 1396251781 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 16307 Fm 529 Road, Houston, TX 77095-1417 | 2017-12-20 |
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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.