HUNTSVILLE FAMILY MEDICINE, LLP (NPI# 1871535559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871535559 |
Entity Type | Organization |
Organization Name | HUNTSVILLE FAMILY MEDICINE, LLP |
Practice Address |
123 Medical Park Ln Ste A Huntsville TX 77340-4981 |
Practice Telephone | 9362912116 |
Practice Fax Number | 9364357824 |
Mailing Telephone | 9362912116 |
Mailing Fax Number | 9364357824 |
Enumeration Date | 2006-06-10 |
Last Update Date | 2008-09-29 |
Authorized Official Name | BRENDA GLASS (OFFICE MANAGER) |
Authorized Official Telephone | 9362912116 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
TX | Ambulatory Health Care Facilities |
Street Address |
123 MEDICAL PARK LN STE A |
City | HUNTSVILLE |
State | TX |
Zip Code | 77340-4981 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538167390 | Isnardo E Tremor | Family Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2005-07-14 |
1194381459 | Susan Potter Mccormick | Physician Assistant | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2019-05-13 |
1366855470 | Lane Aiena | Family Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2014-06-05 |
1700939311 | Mary Rosenquist | Family Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2007-01-18 |
1184797847 | Shao-jen Chang | Internal Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2006-11-17 |
1578511275 | Kerri Cravey | Nurse Practitioner | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2006-05-04 |
1982602793 | David P Knuth | Family Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2005-07-14 |
1497753206 | Lawrence H Wells | Family Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2005-07-14 |
1710985536 | Robert Fernandez | Family Medicine | 123 Medical Park Ln Ste A, Huntsville, TX 77340-4981 | 2005-07-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619871 | Rhonda Reynolds | Pharmacist | 141 I45 S, Huntsville, TX 77340 | 2020-11-06 |
1902407794 | Tristan Elliston | Pharmacist | 145 Interstate 45 S, Huntsville, TX 77340 | 2020-11-06 |
1396362331 | Elizabeth Alexander | Registered Nurse | 1451 River Oaks Dr., Huntsville, TX 77340 | 2020-06-25 |
1598399107 | Haley Lord | Specialist/Technologist | 1804 Bobby K Marks Dr, Huntsville, TX 77340 | 2020-02-24 |
1568022077 | Jessica Olsen Jordan | Registered Nurse | 1905 University Ave, Huntsville, TX 77340 | 2019-06-17 |
1861962136 | Samantha Joleen Bioseh | Nurse Practitioner | 179 I-45, Suite 300, Huntsville, TX 77340 | 2018-11-29 |
1528573987 | Alan Wu | Dentist | 245 Interstate 45 S Ste D, Huntsville, TX 77340 | 2017-12-07 |
1285146282 | Brandi Elizabeth Bonin | Dietitian, Registered | 1217 Avenue M Ste 113, Huntsville, TX 77340 | 2017-10-30 |
1558889030 | Mext, LLC | Audiologist-Hearing Aid Fitter | 179 Ih 45 S Ste 400, Huntsville, TX 77340 | 2017-09-05 |
1720518111 | H-e-b, Lp | Clinical Medical Laboratory | 1702 11th St, Huntsville, TX 77340 | 2017-06-18 |
Find all providers in zip 77340 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194958124 | Center for Adult Medicine & Hypertension, PC | Clinic/Center | 411 Engle Dr Sw, Huntsville, AL 35801-5119 | 2009-08-25 |
1811185424 | Raynon A. Andrews, Md, PC | Clinic/Center | 1878 Jeff Road, Suite A, Huntsville, AL 35806 | 2007-10-09 |
1124216932 | Premier Family Medicine, PC | Clinic/Center | 4820 University Dr Nw Ste 35, Huntsville, AL 35816-1824 | 2007-10-05 |
1255387247 | Regional Spine & Wrist Centers,llc | Clinic/Center | 7540 Memorial Pkwy Sw, Suite W, Huntsville, AL 35802-2265 | 2006-05-25 |
1457962508 | Daniel R Englert Md LLC | Clinic/Center | 101 Bob Wallace Ave Sw Ste D, Huntsville, AL 35801-3843 | 2020-08-12 |
1649890211 | Southern Grace Medical Care, LLC | Clinic/Center | 500 Governors Dr Sw, Huntsville, AL 35801-5126 | 2020-04-23 |
1063066793 | Welbii, LLC | Clinic/Center | 700 Airport Rd Sw Ste D, Huntsville, AL 35802-4360 | 2019-07-31 |
1922667476 | Premium Family Care LLC | Clinic/Center | 333 Whitesport Dr Sw Ste 204, Huntsville, AL 35801-3455 | 2019-06-09 |
1932652989 | Happi Inc | Clinic/Center | 4040 Memorial Pkwy Sw, Suite K, Huntsville, AL 35802-4364 | 2016-07-26 |
1538530860 | Zaheer A. Khan Mdpc | Clinic/Center | 3007 Memorial Pkwy Sw Ste B, Huntsville, AL 35801-5394 | 2015-10-13 |
Find all providers in HUNTSVILLE |
City | HUNTSVILLE |
Zip Code | 77340 |
Please comment or provide details below to improve the information on HUNTSVILLE FAMILY MEDICINE, LLP.
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.