AEGIS EMERGENCY PHYSICIANS GROUP PLLC (NPI# 1154724862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154724862 |
| Entity Type | Organization |
| Organization Name | AEGIS EMERGENCY PHYSICIANS GROUP PLLC |
| Practice Address |
1490 Fm 2920 Ste G 528 Tomball TX 77377 |
| Mailing Address |
Po Box 8974 Fort Worth TX 76124-0974 |
| Practice Telephone | 8174514208 |
| Practice Fax Number | 8175633699 |
| Mailing Telephone | 8174514208 |
| Mailing Fax Number | 8175633699 |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2014-10-08 |
| Authorized Official Name | DR. DONALD G BLASCHKE III (OWNER/PRESIDENT) |
| Authorized Official Telephone | 8174514208 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | K2650 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1490 FM 2920 STE G 528 |
| City | TOMBALL |
| State | TX |
| Zip Code | 77377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801594 | Gavin John Le Nobel | Otolaryngology | 14211 Fm 2920 Road, Suite 110, Tomball, TX 77377 | 2020-08-14 |
| 1144855057 | P&l Transportation LLC | Private Vehicle | 21834 E Yaupon Circle, Tomball, TX 77377 | 2020-03-11 |
| 1033767520 | Daniel Max & Marcandrea, LLC | Optometrist | 14090 Farm To Market 2920, Suite B, Tomball, TX 77377 | 2019-08-28 |
| 1932682689 | Donna C. Brown | Licensed Vocational Nurse | 11743 Northpointe Blvd. Tomball, Texas, Apt. 1131, Tomball, TX 77377 | 2018-09-10 |
| 1972097491 | Latrisala Bankston | Nurse Practitioner | 15535 Downford Dr, Tomball, TX 77377 | 2018-06-18 |
| 1700377249 | Yen Bui | Physician Assistant | 11931 Laurel Meadow Dr, Tomball, TX 77377 | 2018-05-21 |
| 1487165593 | Melanie Abella | Behavioral Analyst | 17418 Sunset Arbor Dr, Tomball, TX 77377 | 2017-10-16 |
| 1366991457 | Ida Echols | Specialist/Technologist, Other | 16131 N. Eldridge Pkwy Suite 200, Suite 5, Tomball, TX 77377 | 2016-09-29 |
| 1861861635 | Tayloe Douglas | Student in an Organized Health Care Education/Training Program | 15451 Kenny Drive, Tomball, TX 77377 | 2015-09-22 |
| 1578930343 | Han Bui | Optometrist | 14079 Fm 2920 Tomball Tx 77377, Tomball, TX 77377 | 2015-08-28 |
| Find all providers in zip 77377 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487622692 | Albert Delloyd Friday Jr. | Emergency Medicine | 1400-b Graham Drive, Suite 511, Tomball, TX 77375-4546 | 2006-03-14 |
| 1316919954 | Naveed Mughal | Emergency Medicine | 22625 Sh 249, #450, Tomball, TX 77375 | 2006-02-07 |
| 1518946003 | Randy Lynn Park | Emergency Medicine | 24727 State Highway 249, Suite 120, Tomball, TX 77375-7727 | 2006-01-12 |
| 1033533799 | Medical Integrated Group, Lllp | Emergency Medicine | 25420 Kuykendahl Rd, Suite 300, Tomball, TX 77375 | 2014-02-14 |
| 1396080305 | Mudassir Khan | Emergency Medicine | 605 Holderrieth Blvd, Emergency Medicine, Tomball, TX 77375-6445 | 2012-12-02 |
| 1306097944 | Christopher D Vu | Emergency Medicine | 605 Holderrieth Blvd, Tomball, TX 77375-6445 | 2008-10-01 |
| 1467637462 | Vinh Doan Ngo | Emergency Medicine | 605 Holderrieth Blvd, Tomball, TX 77375-6445 | 2008-01-08 |
| 1548485923 | Tomball Emergency Physicians, Pa | Emergency Medicine | 24727 Tomball Pkwy, Suite 120, Tomball, TX 77375 | 2007-04-13 |
| 1710051735 | Kathleen Tye | Emergency Medicine | 605 Holderrieth Blvd, Tomball, TX 77375-6445 | 2006-11-20 |
| 1891869533 | Teodoro E Quintos | Emergency Medicine | 605 Holderrieth Blvd, Tomball, TX 77375-6445 | 2006-11-17 |
| Find all providers in TOMBALL | ||||
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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.