I 45 MEDICAL CLINIC, LLC. (NPI# 1235450644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235450644 |
| Entity Type | Organization |
| Organization Name | I 45 MEDICAL CLINIC, LLC. |
| Practice Address |
4141 North Fwy Suite # 100 Houston TX 77022-4208 |
| Practice Telephone | 7136990900 |
| Practice Fax Number | 7136990903 |
| Mailing Telephone | 7136990900 |
| Mailing Fax Number | 7136990903 |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |
| Authorized Official Name | MR. ANGELO SOTO (OWNER) |
| Authorized Official Telephone | 7136990900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | TX | Allopathic & Osteopathic Physicians |
| Street Address |
4141 NORTH FWY SUITE # 100 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77022-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770590531 | Ronald A Charles | Emergency Medicine | 4141 North Fwy, Houston, TX 77022-4208 | 2006-08-02 |
| 1316309339 | 1 Stop Recovery, Inc. | Clinic/Center | 4141 North Fwy, Ste. 310, Houston, TX 77022-4208 | 2016-03-29 |
| 1366808271 | North Wellness & Chiro Center | Chiropractor | 4141 North Fwy, Suite 200, Houston, TX 77022-4208 | 2016-01-07 |
| 1639541642 | Life | Durable Medical Equipment & Medical Supplies | 4141 North Fwy, Suite 215, Houston, TX 77022-4208 | 2015-10-29 |
| 1790003721 | All About Recovery, Inc. | Clinic/Center | 4141 North Fwy, Suite 310, Houston, TX 77022-4208 | 2010-05-14 |
| 1629201454 | 24/7 Consulting Inc | Contractor | 4141 North Fwy, Suite 100, Houston, TX 77022-4208 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418373 | Magnolia 1 House | Nursing Care | 505 E 38th St, Houston, TX 77022 | 2020-02-11 |
| 1720569429 | Loving Care Assisted Living Home | Assisted Living Facility | 8209 N Main St, Houston, TX 77022 | 2018-08-22 |
| 1235687674 | Elizabeth Brooke Avant | Physical Therapist | 5206 Airline Drive, Houston, TX 77022 | 2016-09-14 |
| 1225407109 | Elsa Murillo | Pharmacy Technician | 4712 Airline Drive, Suite F, Houston, TX 77022 | 2015-09-21 |
| 1215210125 | Tidwell Rx LLC | Pharmacy | 712 E Tidwell Rd, Suite C, Houston, TX 77022 | 2011-09-27 |
| 1184904195 | Victoria Ann Ramirez | Dentist | 4400 North Fwy Spc D500, Houston, TX 77022 | 2011-08-22 |
| 1902116726 | Serrot Inc. | Optometrist | 4412 North Freeway, Houston, TX 77022 | 2010-10-14 |
| 1972811586 | Wal-mart Stores Texas LLC | Technician/Technologist | 4412 N Fwy, Houston, TX 77022 | 2010-09-16 |
| 1922329671 | Hamid S Sohrabian | Chiropractor | 4615 North Frwy . 208, Houston, TX 77022 | 2010-06-17 |
| 1861636896 | Johnnetta Matrice Nichols | Assisted Living Facility | 8209 N. Main St., Houston, TX 77022 | 2009-04-21 |
| Find all providers in zip 77022 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151472 | Canice Chukwuocha | General Practice | 3030 Elmside Dr Apt 179, Houston, TX 77042-3926 | 2020-07-15 |
| 1902424518 | Medkare | General Practice | 2426 Lake Kolbe Ln, Houston, TX 77080-2562 | 2020-07-09 |
| 1477191757 | Holistic Innovative Interventional Pain Associates Pllc | General Practice | 4615 Southwest Freeway #850, Houston, TX 77027 | 2019-12-17 |
| 1467019109 | Eldere Germain | General Practice | 5850 Duxbury St, Houston, TX 77035-4211 | 2019-05-28 |
| 1235697822 | Joy Ileruwa Ebomwonyi | General Practice | 17567 Imperial Valley Dr, Houston, TX 77060-7706 | 2019-03-04 |
| 1194295030 | Westheimer Medical Group Pllc | General Practice | 5433 Westheimer Rd Ste 275, Houston, TX 77056-5331 | 2018-12-04 |
| 1538639638 | Clear Mind Agency LLC | General Practice | 1300 N Post Oak Rd, Houston, TX 77055-5431 | 2018-11-30 |
| 1346739158 | Abc Solutions Group Corp | General Practice | 10333 Harwin Dr Ste 530l, Houston, TX 77036-1545 | 2018-05-07 |
| 1073018768 | V & V Medical Management | General Practice | 13626 Veterans Memorial Dr Ste F, Houston, TX 77014 | 2018-03-26 |
| 1942703525 | Victor Yosef Melt Campos | General Practice | 1220 W Pierce St, Houston, TX 77019-4146 | 2018-03-09 |
| 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.