GENESIS PHYSICIAN ALLIANCE, INC (NPI# 1891163366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891163366 |
| Entity Type | Organization |
| Organization Name | GENESIS PHYSICIAN ALLIANCE, INC |
| Practice Address |
2717 Commercial Center Blvd Ste E200 Katy TX 77494-6410 |
| Practice Telephone | 8327125904 |
| Mailing Telephone | 8327125904 |
| Mailing Fax Number | 8329131173 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2016-07-19 |
| Authorized Official Name | FRAN MCSHAN (CREDENTIALING) |
| Authorized Official Telephone | 8329135032 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
2717 COMMERCIAL CENTER BLVD STE E200 |
| City | KATY |
| State | TX |
| Zip Code | 77494-6410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811217516 | Wendy Elaine Williams | Counselor | 2717 Commercial Center Blvd Ste E200, Katy, TX 77494-7823 | 2010-06-03 |
| 1154947273 | Cynthia E Young | Contractor | 2717 Commercial Center Blvd Ste E200, Katy, TX 77494-7823 | 2020-06-24 |
| 1063052686 | Amna Khan | Behavior Technician | 2717 Commercial Center Blvd Ste E200, Katy, TX 77494-7823 | 2020-01-11 |
| 1962042838 | Shekyah Michelle Patterson | Behavior Technician | 2717 Commercial Center Blvd Ste E200, Katy, TX 77494-7823 | 2020-01-08 |
| 1861956039 | Corporate Family Counseling, Pllc | Counselor | 2717 Commercial Center Blvd Ste E200, Katy, TX 77494-7823 | 2019-01-22 |
| 1235506320 | Evelyn Nunez | Counselor | 2717 Commercial Center Blvd Ste E200, Katy, TX 77494-6410 | 2015-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770107542 | Texas Integrative Wellness Pllc | General Practice | 21660 Kingsland Blvd Ste 200, Katy, TX 77450-2511 | 2020-06-08 |
| 1265868210 | Comprehensive Wellness Intentions | General Practice | 21700 Kingsland Blvd Ste 106, Katy, TX 77450-2546 | 2013-09-23 |
| 1659602316 | Steven Forrest Hotze | General Practice | 20214 Braidwood Dr Ste 215, Katy, TX 77450-2140 | 2010-01-20 |
| 1750568010 | Youthful Essence Medical Skin And | General Practice | 414 W Grand Pkwy S, Ste 115, Katy, TX 77494-8351 | 2008-01-29 |
| 1316127368 | Laura D. Edwards | General Practice | 848 Dominion Dr Ste 200, Katy, TX 77450-2083 | 2007-11-07 |
| 1225246846 | Michael Sargent | General Practice | 21937 Katy Fwy, Katy, TX 77450-1738 | 2007-05-18 |
| 1588714851 | Edward Fred Bartsch | General Practice | 5207 E 5th St, Katy, TX 77493-2119 | 2007-01-11 |
| 1518950849 | Laura D Edwards Md Pa | General Practice | 848 Dominion Dr, Suite 200, Katy, TX 77450-2023 | 2005-08-23 |
| 1609330950 | Mercy-teddy Health Care LLC | General Practice | 25311 Kingsland Blvd Ste 190, Katy, TX 77494-7349 | 2019-01-30 |
| 1932632536 | Spar Therapy Service Texas Inc | General Practice | 21398 Provincial Blvd, Katy, TX 77450-7580 | 2017-04-10 |
| Find all providers in KATY | ||||
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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.