ANGEL CARE FAMILY CLINIC, LLC (NPI# 1093251035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093251035 |
| Entity Type | Organization |
| Organization Name | ANGEL CARE FAMILY CLINIC, LLC |
| Practice Address |
5330 Fm 1960 Rd E Ste C Humble TX 77346-2502 |
| Mailing Address |
8722 Sailing Dr Humble TX 77346-2792 |
| Practice Telephone | 8323904579 |
| Mailing Telephone | 8323904579 |
| Enumeration Date | 2017-01-14 |
| Last Update Date | 2017-01-14 |
| Authorized Official Name | MRS. SUREE HOPITAKKUL REYNOLDS (OWNER) |
| Authorized Official Telephone | 8323904579 |
| Authorized Official Credential | MSN,FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP130655 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | APRN | AP130655 | 01 |
| Street Address |
5330 FM 1960 RD E STE C |
| City | HUMBLE |
| State | TX |
| Zip Code | 77346-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881908143 | Amelia J Wang | Dentist | 5330 Fm 1960 Rd E, Humble, TX 77346-2502 | 2010-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194336024 | Chandler Dejean | Dentist | 7315 Farm To Market 1960 Rd E, Humble, TX 77346 | 2020-08-13 |
| 1184275281 | Lakeshia Williams | Technician | 7419 Auburn Oak Trail, Humble, TX 77346 | 2019-09-20 |
| 1720557275 | Soh of Texas Samson Liu Pllc | Dentist | Fm 1960 #204, Humble, TX 77346 | 2018-11-14 |
| 1548774979 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 17900 West Lake Houston Highway, Houston, TX 77346 | 2017-11-21 |
| 1194267187 | Family Ties Living Center | Clinic/Center | 18707 Timbers Trace Drive, Humble, TX 77346 | 2016-11-08 |
| 1992254809 | Adam Thomas Huval | Registered Nurse | 20440 Us-59 #500, Humble, TX 77346 | 2016-10-03 |
| 1770953408 | Alliance Mri Lake Houston, LLC | Clinic/Center | 5514 Atascocita Road, Suite 180, Humble, TX 77346 | 2015-10-07 |
| 1740670975 | Ayesha Mohiuddin | Pediatrics | 17903 W Lake Houston Pkwy Ste 202, Atascocita, TX 77346 | 2015-01-26 |
| 1124422415 | Christopher Roath | Behavioral Analyst | 5364 Farm To Market 1960 Rd E, Humble, TX 77346 | 2014-10-15 |
| 1982004099 | Kimberly Fulghum | Registered Nurse | 19406 Texas Laurel Trl, Humble, TX 77346 | 2014-08-26 |
| Find all providers in zip 77346 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374100 | Victor Monterrey | Nurse Practitioner | 18347 Yellowstone Trl, Humble, TX 77346-3044 | 2020-07-29 |
| 1851915367 | Kayeeta Vernetta Sauls | Nurse Practitioner | 5303 Atascocita Rd Apt 618, Humble, TX 77346-2808 | 2020-06-01 |
| 1689203994 | Brenda Baluyut | Nurse Practitioner | 14610 Fall Creek Bend Ct, Humble, TX 77396-3556 | 2020-04-07 |
| 1033746987 | Ruth W Nginyi | Nurse Practitioner | 17202 Spirit Falls Ct, Humble, TX 77346-3789 | 2020-03-23 |
| 1659902054 | Jennifer Juarez | Nurse Practitioner | 11411 N Sam Houston Pkwy E Ste 146, Humble, TX 77396-5903 | 2020-02-04 |
| 1336605732 | Sammy Caleb Melendez | Nurse Practitioner | 7531 Leaftex Dr, Humble, TX 77396-2613 | 2019-02-11 |
| 1528531704 | Sheryl Yvette Dennis | Nurse Practitioner | 12918 Dunbar Cave Ct, Humble, TX 77346-3799 | 2019-01-10 |
| 1083198105 | Tenille Gibson-farria | Nurse Practitioner | 21210 Fox Orchard Ct, Humble, TX 77338-4392 | 2018-09-25 |
| 1134612708 | Amy Kathleen Daigle | Nurse Practitioner | 20440 Us-59, Suite 500, Humble, TX 77338 | 2018-06-08 |
| 1679064711 | Amy Sengler | Nurse Practitioner | 19411 Mckay Dr Ste 100, Humble, TX 77338-5713 | 2018-05-24 |
| Find all providers in HUMBLE | ||||
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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.