EDWARD EARL ICAZA (NPI# 1134121940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134121940 |
| Entity Type | Individual |
| Full Name | EDWARD EARL ICAZA |
| Other Name | EDWARD E ICAZA |
| Credential | MD |
| Practice Address |
23920 Katy Freeway Suite 405 Katy TX 77494 |
| Practice Telephone | 8324378375 |
| Practice Fax Number | 8324372813 |
| Mailing Telephone | 8324378375 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2013-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
K9809 | TX | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
26567 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 72JA | 01 |
| TX | AETNA | 7491118 | 01 |
| Street Address |
23920 KATY FREEWAY SUITE 405 |
| City | KATY |
| State | TX |
| Zip Code | 77494 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053606566 | Justin Patrick Morgan | Psychiatry & Neurology | 23900 Katy Fwy Ste 450, Katy, TX 77494 | 2011-06-13 |
| 1922269299 | Srikanth Damodaram | Psychiatry & Neurology | 23960 Katy Fwy Ste 450, Katy, TX 77494 | 2008-06-19 |
| 1922180637 | Sevak Ohanian | Psychiatry & Neurology | 411 Park Grove Ln Ste 510, Katy, TX 77450-1575 | 2006-10-20 |
| 1083979322 | Ankit Ashwin Patel | Psychiatry & Neurology | 507 Park Grove Ln, Katy, TX 77450-1759 | 2012-07-12 |
| 1851586754 | Jose M Diaz M D P A | Psychiatry & Neurology | 507 Park Grove Ln, Katy, TX 77450-1759 | 2007-09-13 |
| 1962529115 | Sevak Ohanian Md Pa | Psychiatry & Neurology | 411 Park Grove Ln Ste 510, Katy, TX 77450-1575 | 2007-03-23 |
| 1033295142 | Edward E Icaza Md Pa | Psychiatry & Neurology | 23920 Katy Freeway, #405, Katy, TX 77494 | 2006-10-31 |
| 1255411484 | Maria C. Ramirez-nieto M.d., P.a. | Psychiatry & Neurology | 777 S Fry Rd, Suite 108, Katy, TX 77450-2244 | 2006-10-16 |
| 1558453522 | Sadia Yasser | Psychiatry & Neurology | 777 S Fry Rd, Suite 108, Katy, TX 77450-2244 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059230 | Alla Al-habib Md Pllc | Psychiatry & Neurology | 981 Sh 121, Suite 3100, Allen, TX 75013 | 2020-09-25 |
| 1427669712 | Nerve Track, Pllc | Psychiatry & Neurology | 17503 La Cantera Pkwy Ste 104-416, San Antonio, TX 78257-8207 | 2020-08-11 |
| 1013535020 | Pearland Neurology Services, Pllc | Psychiatry & Neurology | 11914 Astoria Blvd Ste 400, Houston, TX 77089-6049 | 2020-07-07 |
| 1881219384 | Pankhuri Banerjee | Psychiatry & Neurology | 301 University Blvd. -jsa 9.128, Galveston, TX 77555-0539 | 2020-06-10 |
| 1184247371 | Integris Neuro Group LLC | Psychiatry & Neurology | 2012 Justin Rd Ste 200-a, Highland Village, TX 75077-7193 | 2020-05-21 |
| 1265055685 | Schweta Parag Rane | Psychiatry & Neurology | 301 University Blvd. - Jsa9. 128, Galveston, TX 77555-0539 | 2020-05-20 |
| 1477175214 | Vijaya Lakshmi Valaparla | Psychiatry & Neurology | Utmb - Neurology - Jsa 9.128 - Rt. 0539, 301 University Blvd, Galveston, TX 77555-0539 | 2020-05-14 |
| 1548895386 | Robert William Bastien | Psychiatry & Neurology | 602 Catalina Cove Ln, La Marque, TX 77568-6577 | 2020-03-11 |
| 1740823772 | Epilepsy and Neurology Care Specialists Pllc | Psychiatry & Neurology | 2406 Stirling Ave, Edinburg, TX 78539-2706 | 2019-10-22 |
| 1235797226 | Apollo Monitoring Services, LLC | Psychiatry & Neurology | 1100 Glade Rd, Colleyville, TX 76034-4227 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
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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.