DR. MARIA BRAVO-LARGE (NPI# 1174676894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174676894 |
| Entity Type | Individual |
| Full Name | DR. MARIA BRAVO-LARGE |
| Credential | M.D. |
| Practice Address |
1200 Enclave Pkwy Ste 200 Houston TX 77077-1733 |
| Mailing Address |
17106 Palisades Cir Pacific Palisades CA 90272-2169 |
| Practice Telephone | 2818701000 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
K5831 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1200 ENCLAVE PKWY STE 200 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77077-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538239546 | Melvin David Russell | Internal Medicine | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2006-11-08 |
| 1689980799 | Glenda Joyce Marsh | Nurse Practitioner | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2010-08-26 |
| 1770759078 | William Howe Leedy Jr. | Nurse Anesthetist, Certified Registered | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2008-05-06 |
| 1891966941 | Mahmud Shah | Internal Medicine | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2008-03-17 |
| 1629255138 | Fred Paul Frenger | General Practice | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2008-01-28 |
| 1124246491 | Indu Ramesh Shah | Family Medicine | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2007-04-23 |
| 1215151394 | Barbara Richardson | Nurse Practitioner | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2007-04-12 |
| 1194846378 | Damian Johnson | Family Medicine | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2007-04-03 |
| 1891811360 | Xochitl Bockmon | Physician Assistant | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2007-03-22 |
| 1891828117 | Amy Christianson | Family Medicine | 1200 Enclave Pkwy Ste 200, Houston, TX 77077-1733 | 2007-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457922 | Tam Minh Ha | Pharmacist | 2700 S Kirkwood, Houston, TX 77077 | 2020-11-02 |
| 1497396881 | Laboratory Concepts | Technician, Pathology | 2025 Gentryside Dr, Houston, TX 77077 | 2019-10-07 |
| 1447730940 | Olufunke O'banion | Registered Nurse | 1011 South Texas 6, Suite 311, Houston, TX 77077 | 2018-08-15 |
| 1548753536 | Jasmine M Mckenzie | Specialist | 12350 Westhemier Rd, Suite 128, Houston, TX 77077 | 2018-06-13 |
| 1396233698 | Waabeke Charlotte Nwikpo | Counselor | 1919 S Kirkwood Rd Apt 144, Houston, TX 77077 | 2018-04-23 |
| 1447747894 | Westside Medical Centers of Texas Pllc | Chiropractor | 1137 Highway 6 South, Houston, TX 77077 | 2018-04-20 |
| 1649786427 | Medical Care Innovation, P.C. | Clinic/Center | 1254 Enclave Parkway, Houston, TX 77077 | 2017-12-16 |
| 1194242545 | Lydia Danielle Breedlove | Specialist/Technologist | 12310 Rincon Drive, Houston, TX 77077 | 2017-08-26 |
| 1649602962 | Bereket Haileab Tsegai | Optometrist | 11660 Westheimer Rd Ste 125, Houston, TX 77077 | 2013-08-09 |
| 1851733273 | Tomekia Alvarez | Occupational Therapy Assistant | 1815 Enclave Parkway, Apt 6307, Houston, TX 77077 | 2013-07-26 |
| Find all providers in zip 77077 | ||||
| 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.