PICC HEALTH INSTITUTE LLC (NPI# 1477820553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477820553 |
| Entity Type | Organization |
| Organization Name | PICC HEALTH INSTITUTE LLC |
| Other Organization Name | PICC HEALTH INSTITUTE |
| Practice Address |
5302 Canal Street Houston TX 77011 |
| Mailing Address |
7324 Southwest Fwy Ste 885 Houston TX 77074 |
| Practice Telephone | 7135341718 |
| Practice Fax Number | 7136405213 |
| Mailing Telephone | 8328047825 |
| Mailing Fax Number | 8328047837 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2014-12-08 |
| Authorized Official Name | NINA OLUGU (MANAGING DIRECTOR) |
| Authorized Official Telephone | 7135341718 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| PICC Health Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306209739 | Picc Health Institute LLC | Ambulance | 6260 Westpark Dr Ste 266, Houston, TX 77057-7353 | 2016-04-02 |
| Street Address |
5302 CANAL STREET |
| City | HOUSTON |
| State | TX |
| Zip Code | 77011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417092131 | City of Houston | Clinic/Center | 7037 Capital, Magnolia Health Center, Houston, TX 77011 | 2007-02-20 |
| 1790820413 | Ray Ruth Wheeler | Dentist | 7037 Capitol, Magnolia Dental Clinic, Houston, TX 77011 | 2007-02-20 |
| 1104966142 | Soheila Radan | Dentist | 200 -a S. Wayside, Houston, TX 77011 | 2007-02-07 |
| 1003963349 | Harrisburg Clinic, Inc | Legal Medicine | 5101 Harrisburg Blvd, Houston, TX 77011 | 2007-01-05 |
| 1720581895 | Magnolia Health Center | Dentist | 7037 Capitol, Houston, TX 77011 | 2018-03-14 |
| 1598952038 | Guajardo Clinic Pa | Chiropractor | 6901 Canal St, Houston, TX 77011 | 2007-09-28 |
| 1144365867 | Shu Chiung Wang Chen | Dentist | 7037 Capitol, Houston, TX 77011 | 2007-02-20 |
| 1992935597 | Patricia Melo Hayes | Internal Medicine | 5104 Harrisburg Blvd Ste 800, Houston, TX 77011-0001 | 2009-07-17 |
| 1447717871 | Partners In Primary Care Tx, Pa | Family Medicine | 5104 Harrisburg Blvd Ste 800, Houston, TX 77011-0001 | 2019-02-21 |
| 1538618293 | Crystal S Owen | Nurse Practitioner | 5104 Harrisburg Blvd Ste 800, Houston, TX 77011-0001 | 2016-09-22 |
| Find all providers in zip 77011 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255162 | Shaida Rahmatinick | Nurse Practitioner | 1515 W 22nd St, Houston, TX 77008-1501 | 2020-11-08 |
| 1104426311 | Erin Krim Gordon | Nurse Practitioner | 2202 Quenby St, Houston, TX 77005-1502 | 2020-10-27 |
| 1003415902 | Hope Ozumba | Nurse Practitioner | 8544 Dairy View Ln, Houston, TX 77072-3907 | 2020-10-21 |
| 1487253761 | Khanh Vu Phuong Nguyen | Nurse Practitioner | 13218 Bellaire Bld, Houston, TX 77083 | 2020-10-19 |
| 1962001362 | Eshcol Clinic | Nurse Practitioner | 9935 Bissonnet St Unit B, Houston, TX 77036-8413 | 2020-10-19 |
| 1013516483 | Shazia Mominkhawaja | Nurse Practitioner | 2222 Greenhouse Rd Ste 400, Houston, TX 77084-7288 | 2020-10-18 |
| 1851908610 | Iyobo Elegon | Nurse Practitioner | 8511 Dawnridge Dr, Houston, TX 77071-2441 | 2020-09-25 |
| 1548877541 | Lifespan Psychiatry and Wellness Center Pllc | Nurse Practitioner | 8700 Commerce Park Dr Ste 220, Houston, TX 77036-7431 | 2020-09-24 |
| 1811503345 | Alyssa Cory Hildebrand | Nurse Practitioner | 2450 Fondren Rd Ste 111, Houston, TX 77063-2314 | 2020-09-21 |
| 1245846088 | Adriana Ortiz | Nurse Practitioner | 7218 Shady Corners Ln, Houston, TX 77040-4733 | 2020-09-17 |
| 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.