MT HOUSTON MEDICAL CLINIC (NPI# 1346363587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346363587 |
| Entity Type | Organization |
| Organization Name | MT HOUSTON MEDICAL CLINIC |
| Other Organization Name | HUI JUN PARK, DC PC |
| Practice Address |
11703a Eastex Fwy Houston TX 77039-6205 |
| Practice Telephone | 8326834132 |
| Practice Fax Number | 8326834133 |
| Mailing Telephone | 8326834132 |
| Mailing Fax Number | 8326834133 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | MS. SANDRA ANN SHIRAH (ADMIN/CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 8326834132 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP126718 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 174400000X | Specialist | J8017 | TX | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS GRP ID | 0078GF | 01 |
| Other Name | Type Code |
|---|---|
| Hui Jun Park, DC PC | Doing Business As Name - Organization |
| Mt Houston Medical Clinic | Other Name - Individual/Organization |
| Street Address |
11703A EASTEX FWY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77039-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225280530 | Lauren Y Nguyen | Pharmacist | 11703a Eastex Fwy, Houston, TX 77039-6205 | 2008-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242923 | Exquisite Dental Smiles Pllc | Dentist | 2200 Aldine Mail Route Rd # 106, Houston, TX 77039 | 2020-10-15 |
| 1457987505 | Yvonne Hinojosa | Counselor | 3000 Aldine Mail Rte Rd, Houston, TX 77039 | 2020-03-20 |
| 1275198509 | Asian American Health Coalition of The Greater Houston Area | Clinic/Center | 3000 Aldine Mail Route Rd, Building C, Ste 200, Houston, TX 77039 | 2019-05-02 |
| 1750850228 | Karla Jasmin Gallardo | Licensed Vocational Nurse | 5625 Huse St, Houston, TX 77039 | 2018-11-14 |
| 1275019895 | Jackie Lollis | Licensed Vocational Nurse | 1617 Buschong Rd, Houston, TX 77039 | 2018-07-17 |
| 1417477589 | Katia Jean Baptiste | Family Medicine | 3000 Aldine Mail Route Rd Building C, Ste 200, Houston, TX 77039 | 2017-06-21 |
| 1699138099 | Erica Villalobos | Pediatrics | 3000 Aldine Mail Route Rd, Building C, Ste 200, Houston, TX 77039 | 2016-04-01 |
| 1073948329 | Good Old Days Adult Daycare LLC | Clinic/Center | 5339 Easthampton Dr, Houston, TX 77039 | 2013-09-05 |
| 1144498940 | Noel Dental, P.a. | Dentist | 11130 Gulf Freeway, Suite 310, Houston, TX 77039 | 2008-02-14 |
| 1619045937 | Hui Jun Park | Nurse Practitioner | 11703a Eastex Freeway, Houston, TX 77039 | 2006-12-04 |
| Find all providers in zip 77039 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949152 | Angelica Rosas-torres | Specialist | 9810 Brick Village Dr, Houston, TX 77095-5072 | 2020-07-16 |
| 1689202004 | Bayou Surgical Assistants Inc | Specialist | 121 N Post Oak Ln Apt 2204, Houston, TX 77024-7717 | 2020-03-31 |
| 1588290761 | Jim Gigante | Specialist | 5607 Fountainbridge Ln, Houston, TX 77069-1917 | 2020-03-19 |
| 1043840044 | Valerie Pedraza | Specialist | 9802d Ella Blvd, Houston, TX 77038-3030 | 2020-01-19 |
| 1386200178 | Thaddieus A Reed | Specialist | 3605 Wilmington St, Houston, TX 77051-3248 | 2019-05-16 |
| 1437617545 | Wellness Institute of Neurodevelopment | Specialist | 5757 Woodway Dr Ste 190, Houston, TX 77057-1526 | 2019-03-07 |
| 1275098568 | Idoc Virtual Telehealth Texas | Specialist | 2311 W Main St, Houston, TX 77098-3218 | 2019-01-31 |
| 1326531708 | Houston Neurology Clinical & Diagnostic Consultants Company | Specialist | 1313 La Concha Ln Ste 130, Houston, TX 77054-1809 | 2018-06-11 |
| 1154840908 | Webster Diagnostics, Pllc | Specialist | 18333 Egret Bay Blvd Ste 200, Houston, TX 77058-3200 | 2017-09-13 |
| 1093242166 | Cns Medical Group | Specialist | 6238 Rietta St, Houston, TX 77016-4338 | 2017-05-18 |
| 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.