1ST SOUTH TEXAS PAIN MANAGEMENT (NPI# 1043583008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043583008 |
Entity Type | Organization |
Organization Name | 1ST SOUTH TEXAS PAIN MANAGEMENT |
Practice Address |
1431 Wirt Rd. 113 Houston TX 77055 |
Practice Telephone | 7133703286 |
Mailing Telephone | 7133703286 |
Enumeration Date | 2012-02-21 |
Last Update Date | 2012-02-21 |
Authorized Official Name | MR. DANIEL CANTU (PRESIDENT) |
Authorized Official Telephone | 7133703286 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
Street Address |
1431 WIRT RD. 113 |
City | HOUSTON |
State | TX |
Zip Code | 77055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811594823 | Taha Pharmacy | Pharmacy | 1383 Bunker Hill Rd, 101, Houston, TX 77055 | 2020-10-02 |
1134777238 | Cini Thomas | Nurse Practitioner | 9504 Long Point Rd, Suite E, Houston, TX 77055 | 2019-08-31 |
1598248056 | Jan Michael Coz | Occupational Therapy Assistant | 1341 Blalock Road, Houston, TX 77055 | 2018-09-11 |
1528557881 | The Hospital At I-10 | Special Hospital | 9430 Old Katy Road, Suite 100, Houston, TX 77055 | 2018-05-02 |
1508353129 | Amber Clarke | Nurse Practitioner | Westside Physicians Clinic, 1160 Blalock Rd, Houston, TX 77055 | 2018-04-19 |
1205338506 | Kelsey Samantha Gold | Registered Nurse | 7605 Wedgewood Lane, Houston, TX 77055 | 2018-03-02 |
1255849147 | Tan Minh Nguyen | Physical Therapy Assistant | 1341 Blalock, Houston, TX 77055 | 2018-01-13 |
1679097737 | Susan Degner | Social Worker | 1500 N. Post Oak Rd. Suite 150, Houston, TX 77055 | 2017-07-31 |
1003336413 | Solange Inzillo | Speech-Language Pathologist | 9757 Pine Lake Drive, #4025, Houston, TX 77055 | 2017-06-27 |
1386181618 | Gem Monika Yamon Escamilla | Nurse Practitioner | 8116 Long Point Rd, Houston, TX 77055 | 2017-01-25 |
Find all providers in zip 77055 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518461961 | Ahmed Elakkad | Radiology | 5704 Edgemoor Dr Apt 90, Houston, TX 77081 | 2018-03-21 |
1578065967 | Erika G. L. C. Odisio | Radiology | 1400 Pressler St # 145084, Houston, TX 77030-3722 | 2018-03-02 |
1841798527 | Icgh - Imaging Centers of Greater Houston LLC | Radiology | 6300 Richmond Ave Ste 104, Houston, TX 77057-5931 | 2018-01-26 |
1528597580 | Mayur Kundan Virarkar | Radiology | 1515 Holcombe Blvd Unit 1459, Houston, TX 77030-4000 | 2017-06-05 |
1831627918 | Ali Ahmed Abdelkhalek Baiomy | Radiology | 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 | 2017-06-01 |
1881139566 | Radiology Partners of Iowa Inc | Radiology | 7600 W Tidwell Rd, Suite 103, Houston, TX 77040-5714 | 2017-01-04 |
1902352701 | Mouin Ct-mri | Radiology | 11375 W Sam Houston Parkway, 150, Houston, TX 77031-2347 | 2016-08-31 |
1861888356 | Joe M Moody Sr. | Radiology | 5042 Tangle Ln., Houston, TX 77056-2114 | 2015-04-10 |
1689063430 | Kai Xu | Radiology | 6431 Fannin St Ste 2.116, Houston, TX 77030-1501 | 2015-01-16 |
1063817203 | Oakridge Imaging LLC | Radiology | 3301 S Shepherd Dr, Houston, TX 77098-3320 | 2014-10-30 |
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.