ALFRED BOYCE WETTERMARK III (NPI# 1720288053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720288053 |
| Entity Type | Individual |
| Full Name | ALFRED BOYCE WETTERMARK III |
| Credential | M.D. |
| Practice Address |
3811 Lyons Ave Houston TX 77020-8306 |
| Mailing Address |
Po Box 66308 Houston TX 77266-6308 |
| Practice Telephone | 8325485000 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2017-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M9739 | TX | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 940 Hesters Crossing Rd, Round Rock, TX 786818018 | 5122449024 | 5122183704 |
| Street Address |
3811 LYONS AVE |
| City | HOUSTON |
| State | TX |
| Zip Code | 77020-8306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356441844 | Funmilayo A Macaulay | Obstetrics & Gynecology | 3811 Lyons Ave, Houston, TX 77020-8306 | 2006-09-24 |
| 1548882459 | Denisha L Prim | Case Manager/Care Coordinator | 3811 Lyons Ave, Houston, TX 77020-8306 | 2020-05-13 |
| 1558862391 | Dianna Jocelyn Gonzalez | Dietitian, Registered | 3811 Lyons Ave, Houston, TX 77020-8306 | 2018-02-27 |
| 1770023434 | Jerson Desiderio | Optometrist | 3811 Lyons Ave, Houston, TX 77020-8306 | 2017-02-28 |
| 1497101356 | Christelle Marie Hernandez | Nurse Practitioner | 3811 Lyons Ave, Houston, TX 77020 | 2016-05-10 |
| 1033578794 | Meganne Renee Duke | Social Worker | 3811 Lyons Ave, Houston, TX 77020-8306 | 2016-02-23 |
| 1689080830 | Sharon Ballestero | Social Worker | 3811 Lyons Ave, Houston, TX 77020-8306 | 2014-07-09 |
| 1912290693 | Legacy Community Health Services, Inc | Clinic/Center | 3811 Lyons Ave, Houston, TX 77020-4730 | 2011-05-27 |
| 1417194887 | Zuleika Goss Pierson | Obstetrics & Gynecology | 3811 Lyons Ave, Houston, TX 77020-8306 | 2009-01-07 |
| 1760675680 | Purva Thakore Lad | Social Worker | 3811 Lyons Ave, Houston, TX 77020-8306 | 2007-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154847515 | Legacy Community Health Services | Pharmacy | 3811 Lyons Avenue, Suite 114, Houston, TX 77020 | 2017-08-17 |
| 1154626000 | Tatum Martin | Case Manager/Care Coordinator | 4409 Rawley St., Houston, TX 77020 | 2011-01-24 |
| 1578891610 | Sunday E. Dike | Pharmacist | 1515 Lockwood Drive, Walgreens Store 2686, Houston, TX 77020 | 2009-12-01 |
| 1386877116 | Mitchel Jay Abramsky | General Practice | 5605 Lyons Ave, Lyons Avenue Health Center, Houston, TX 77020 | 2009-08-27 |
| 1649420589 | Doan Thuy Do | Family Medicine | 464 Hahlo, Houston, TX 77020 | 2008-09-29 |
| 1770655193 | Hiep Nguyen | Dentist | 723 A Shotwell Street, Houston, TX 77020 | 2006-11-14 |
| 1790798288 | Roberto Cesar Garcia | Dentist | 6909 Lyons Ave, Houston, TX 77020 | 2006-08-14 |
| 1194733030 | Samuel Nmi Gold | Optometrist | 711 Shotwell, Houston, TX 77020 | 2006-08-04 |
| 1093780280 | Houston Community Health Centers Inc | Clinic/Center | 424b Hahlo Street, Houston, TX 77020 | 2006-02-21 |
| 1013415298 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 5602 Lyons Ave, Houston, TX 77020 | 2018-01-23 |
| Find all providers in zip 77020 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1871100032 | Umedly | Family Medicine | 708 Main St Fl 10, Houston, TX 77002-3246 | 2020-09-30 |
| 1255945010 | Steven X Nguyen Inc | Family Medicine | 6112 Bellaire Blvd Ste D, Houston, TX 77081-4913 | 2020-08-31 |
| 1871105023 | Health Right Choice | Family Medicine | 17550 W Little York Rd Ste 10, Houston, TX 77084-6321 | 2020-08-19 |
| 1275145625 | Global Health Equity Pllc | Family Medicine | 1232 Westheimer Rd, Houston, TX 77006-2641 | 2020-08-18 |
| 1083223804 | Patricia Nmukoso Enyi | Family Medicine | 2646 S Loop W Ste 270, Houston, TX 77054-5608 | 2020-07-28 |
| 1972121416 | Community Medical Clinic LLC | Family Medicine | 10008 Bellaire Blvd, Suite 108, Houston, TX 77072 | 2020-07-10 |
| 1164048526 | Clinica San Lucas Fuqua | Family Medicine | 11019 Fuqua St, Houston, TX 77089-2510 | 2020-06-22 |
| 1699397240 | Urgent Health Solutions Woodlake | Family Medicine | 9668 Westheimer Rd Ste 600, Houston, TX 77063-3252 | 2020-05-16 |
| 1649899964 | Lermnaim LLC | Family Medicine | 2919 Fm 1960 Rd Ste 120, Houston, TX 77073-2621 | 2020-04-16 |
| 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.