DIABETES REVERSAL OF AMERICA, LLC (NPI# 1790215358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790215358 |
| Entity Type | Organization |
| Organization Name | DIABETES REVERSAL OF AMERICA, LLC |
| Other Organization Name | MEDICAL BIODIAGNOSTIC LLC |
| Practice Address |
1463 S Mason Rd Katy TX 77450-4568 |
| Mailing Address |
5723 Star Ln Houston TX 77057-7113 |
| Practice Telephone | 2818087381 |
| Practice Fax Number | 2816244488 |
| Mailing Telephone | 2818087381 |
| Mailing Fax Number | 2818618415 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MR. RAJ VARMA (OWNER) |
| Authorized Official Telephone | 2818087381 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Medical Biodiagnostic LLC | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5723 Star Ln, Houston, TX 770577113 | (281) 808-7381 | 2818618415 |
| Street Address |
1463 S MASON RD |
| City | KATY |
| State | TX |
| Zip Code | 77450-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336669910 | Nadia Esmaeili | Physician Assistant | 1463 S Mason Rd, Katy, TX 77450-4568 | 2017-06-23 |
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|---|---|---|---|---|
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| 1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
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| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| Find all providers in zip 77450 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
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|---|---|---|---|---|
| 1629683891 | Med Iv LLC | Clinic/Center | 23510 Kingsland Blvd Ste 101, Katy, TX 77494-4126 | 2020-09-14 |
| 1104454354 | Striker Infusion Services | Clinic/Center | 1318 Pin Oak Rd, Katy, TX 77494-6848 | 2020-03-31 |
| 1417562455 | Infuse Rx LLC | Clinic/Center | 23510 Kingsland Blvd Ste 101, Katy, TX 77494-4126 | 2020-09-15 |
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| 1205451002 | Cb's Infusion Center, LLC | Clinic/Center | 2606 Feather Green Trl, Fresno, TX 77545-7160 | 2020-06-08 |
| 1467084376 | Advanced Tms Neuro Therapeutics, LLC | Clinic/Center | 7100 Westwind Dr Ste 300b, El Paso, TX 79912-1743 | 2020-02-08 |
| 1578108254 | Carissa Arielle Ainsworth | Clinic/Center | 7700 Main St Ste 210, Houston, TX 77030-4457 | 2019-11-17 |
| 1194368605 | Advanced Infusion Services, LLC | Clinic/Center | 1901 Medi Park Dr Ste 1057, Amarillo, TX 79106-2168 | 2019-10-28 |
| 1487217766 | Pro Med Infusion LLC | Clinic/Center | 13134 Dairy Ashford Rd Ste 900b, Sugar Land, TX 77478-3756 | 2019-04-22 |
| 1871060251 | Diabetes Relief Houston Southwest LLC | Clinic/Center | 8200 Wednesbury Ln Ste 390, Houston, TX 77074-2999 | 2018-10-24 |
| 1316412109 | Ais Bs LLC | Clinic/Center | 6671 Southwest Fwy Ste 300m, Houston, TX 77074-2212 | 2018-10-08 |
| 1598255382 | Nucara Infusion Centers LLC | Clinic/Center | 6111-b Burnet Rd, Austin, TX 78757-3226 | 2018-05-16 |
| 1700375466 | Medcare Texas, LLC | Clinic/Center | 6655 Travis St Ste 850, Houston, TX 77030-1317 | 2018-05-08 |
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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.