FAST TRACK MEDICAL CENTER (NPI# 1306454509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306454509 |
| Entity Type | Organization |
| Organization Name | FAST TRACK MEDICAL CENTER |
| Practice Address |
3810 Vinson Ranch Ln Katy TX 77494-3754 |
| Practice Telephone | 8185718708 |
| Mailing Telephone | 8185718708 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | DR. KESSINGTON ENAYE OKUNDAYE (MANAGING PARTNER) |
| Authorized Official Telephone | 8185718708 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0813X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Geropsychiatric |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
3810 VINSON RANCH LN |
| City | KATY |
| State | TX |
| Zip Code | 77494-3754 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144880592 | Blue Zone Health Medical - Katy, Pllc | Clinic/Center | 21660 Kingsland Blvd # 200, Katy, TX 77450-2511 | 2019-06-18 |
| 1972065985 | Tee Health Services LLC | Clinic/Center | 1945 N Mason Rd Ste 107a, Katy, TX 77449-2800 | 2019-04-01 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1518471432 | Katy Gentle Dentists, P.a. | Clinic/Center | 22026 Highland Knolls Dr, Katy, TX 77450-5859 | 2017-11-30 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1750751160 | Clinica Universo Latino 1 LLC | Clinic/Center | 5650 Roberts Rd Bldg B, 300, Katy, TX 77494-1305 | 2015-09-28 |
| 1932596533 | Physicians of Katy, P.a. | Clinic/Center | 462 S Mason Rd Ste 100b, Katy, TX 77450-2449 | 2015-04-21 |
| 1477972560 | West Houston Sleep Center,inc | Clinic/Center | 462 South Mason Road, Suite 400, Katy, TX 77450 | 2014-04-16 |
| 1932542339 | Katy Aba Center of Texas, L.L.C. | Clinic/Center | 24811 Westheimer Pkwy, Katy, TX 77494-7319 | 2013-04-16 |
| 1316218159 | Arot Healthcare Center Inc | Clinic/Center | 20911 Hall Colony Ct, Katy, TX 77449-0100 | 2012-01-25 |
| Find all providers in KATY | ||||
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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.