PEARLAND INTEGRATIVE FAMILY MEDICINE CLINIC (NPI# 1093202764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093202764 |
| Entity Type | Organization |
| Organization Name | PEARLAND INTEGRATIVE FAMILY MEDICINE CLINIC |
| Practice Address |
9804 Broadway St Pearland TX 77584-8258 |
| Mailing Address |
11901 Cedar Creek Dr Pearland TX 77584-1636 |
| Practice Telephone | 7134123251 |
| Practice Fax Number | 8324267770 |
| Mailing Telephone | 8325129267 |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2018-04-18 |
| Authorized Official Name | DR. KHURSHEED BANGLAWALA (OWNER) |
| Authorized Official Telephone | 7134123251 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | L8609 | TX | Ambulatory Health Care Facilities |
| Street Address |
9804 BROADWAY ST |
| City | PEARLAND |
| State | TX |
| Zip Code | 77584-8258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720035546 | Khursheed Banglawala | Family Medicine | 9804 Broadway St, Pearland, TX 77584 | 2006-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181281 | Joyce Ann Fugit | Technician | 8024 Serenity Dr., Pearland, TX 77584 | 2020-10-16 |
| 1558916403 | Houston Mint Dentistry, Pllc | Dentist | 12568 Broadway St Ste 140, Pearland, TX 77584 | 2019-08-07 |
| 1982259198 | Pearland Unicare Pharmacy LLC | Pharmacy | 10970 Shadow Creek Parkway Suite 110.2, Pearland, TX 77584 | 2019-08-05 |
| 1972155869 | Parastoo Natasha Coselli | Dentist | 2811 Buisness Dr Unit 105, Pearland, TX 77584 | 2019-07-11 |
| 1679042030 | Dorothy B Smith-hubbard | Counselor | 919 Norfolk Dr., Pearland, TX 77584 | 2018-11-15 |
| 1720562499 | Kelly Jean Barba | Physical Therapy Assistant | 3406 Businesses Center Dr, Pearland, TX 77584 | 2018-09-19 |
| 1437631884 | Laura Gillet | Registered Nurse | 3306 Summerwood Lane, Pearland, TX 77584 | 2018-09-02 |
| 1881176204 | Sharry Magne Rivera Estrella | Registered Nurse | 11900 Shadow Creek Parkway Apt 1311, Pearland, TX 77584 | 2018-09-01 |
| 1962982264 | Shara Elizabeth Watts | Occupational Therapist | 12001 Shadow Creek Pwky, Pearland, TX 77584 | 2018-08-16 |
| 1457830861 | Melvin Thomas | Dentist | 3215 Souther Green Drive, Pearland, TX 77584 | 2018-08-08 |
| Find all providers in zip 77584 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679933493 | Multispecialty Diagnsotics Medical Services | Clinic/Center | 11301 Morning Brook Dr, Pearland, TX 77584-2114 | 2016-03-07 |
| 1750756854 | Margaret Prince Mot, Ot LLC | Clinic/Center | 3043 Barton Dr, Pearland, TX 77584-7175 | 2015-12-01 |
| 1780829622 | Winebrook Health Management Inc | Clinic/Center | 12310 Winebrook Dr, Pearland, TX 77584-1679 | 2008-12-05 |
| 1790984383 | Gulf Coast Medical Evaluations | Clinic/Center | 2620 Cullen Blvd Ste 214, Pearland, TX 77581-9008 | 2007-07-13 |
| 1497850234 | Zenith Healthcare & Rehabilitation Services, LLC | Clinic/Center | 2702 Martinec Dr., Pearland, TX 77584 | 2006-09-14 |
| 1982257945 | Epiphany Counseling Pllc | Clinic/Center | 1930 Kingsley Dr Apt 14206, Pearland, TX 77584-3855 | 2019-07-18 |
| 1881158525 | Dr. Tuere Coulter, Pllc | Clinic/Center | 12568 Broadway St Ste 160, Pearland, TX 77584 | 2019-01-28 |
| 1700397320 | Altus Physician Network | Clinic/Center | 11233 Shadow Creek Pkwy Ste 313, Pearland, TX 77584-7367 | 2017-10-23 |
| 1952669384 | Adlia M. Ebeid, Pharmd, Pllc | Clinic/Center | 2360 County Road 94, Suite 108, Pearland, TX 77584-5136 | 2012-04-23 |
| 1437347143 | Rcmh, LLC | Clinic/Center | 2805 Business Center Dr, Pearland, TX 77581 | 2007-10-09 |
| Find all providers in PEARLAND | ||||
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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.