KKT MEDICAL, PLLC (NPI# 1487956553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487956553 |
| Entity Type | Organization |
| Organization Name | KKT MEDICAL, PLLC |
| Other Organization Name | PRIME MEDICAL CLINIC |
| Practice Address |
2615 Strawberry Road Pasadena TX 77502 |
| Practice Telephone | 2815010705 |
| Mailing Telephone | 2815010705 |
| Enumeration Date | 2010-11-23 |
| Last Update Date | 2010-11-23 |
| Authorized Official Name | DR. MICHAEL THANH NGUYEN (DIRECTOR) |
| Authorized Official Telephone | 8328581998 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
M3667 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Prime Medical Clinic | Doing Business As Name - Organization |
| Street Address |
2615 STRAWBERRY ROAD |
| City | PASADENA |
| State | TX |
| Zip Code | 77502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306310040 | Daniel Max & Marcandrea LLC | Optometrist | 310 Southmore Ave, Pasadena, TX 77502 | 2019-01-16 |
| 1700393931 | Michelle D Hanson | Family Medicine | 1430 Pasadena Blvd Ste A, Pasadena, TX 77502 | 2018-01-09 |
| 1164952693 | Christopher James Coroneos | Student in an Organized Health Care Education/Training Program | 1515 Holocombe Blvd. The University of Texas Md Anderso, Houston, TX 77502 | 2017-06-18 |
| 1205368529 | National Vision, Inc. | Technician/Technologist | 1008 E Southmore Ave, Suite 120, Pasadena, TX 77502 | 2017-03-28 |
| 1265973101 | Ahmad Khalil | Dentist | 1313 Strawberry Rd, Pasadena, TX 77502 | 2017-03-11 |
| 1609242486 | Abc Dentistry Strawberry, Pllc | Dentist | 1319 Strawberry, Pasadena, TX 77502 | 2015-08-17 |
| 1578812079 | Apollo Healthcare At Bay Area, Lp | Skilled Nursing Facility | 4900 E. Sam Houston South, Pasadena, TX 77502 | 2012-08-30 |
| 1780811604 | Richard Daniel Hall | Chiropractor | 1210 W Allendale Rd, Pasadena, TX 77502 | 2009-06-18 |
| 1285880435 | Angel Amador Roman | Dentist | 2515 Strawberry, Pasadena, TX 77502 | 2008-08-07 |
| 1396944179 | Pasadena Medical Plaza Pharmacy | Pharmacy | 1430b Pasadena Blvd, Pasadena, TX 77502 | 2007-07-12 |
| Find all providers in zip 77502 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073022091 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 400 Park Ln, Suite M, Pasadena, TX 77506 | 2017-09-21 |
| 1861786782 | S.e. Complete Family Care | Clinic/Center | 1907 Southmore Ave # 5, Pasadena, TX 77502-1314 | 2011-06-08 |
| 1538482567 | Irina Jasper Md A Professional Corp | Clinic/Center | 960 E Green St Ste 286, Pasadena, CA 91106-2420 | 2010-03-04 |
| 1710538095 | Dareen Khalaf PCp Inc | Clinic/Center | 215 N Allen Ave, Pasadena, CA 91106-1601 | 2019-09-27 |
| 1740691047 | First Choice Mobile Medicine, Inc. | Clinic/Center | 1650 E Walnut St, Pasadena, CA 91106-1619 | 2014-05-08 |
| 1093136582 | Annie A. Barseghian Md Inc | Clinic/Center | 800 Fairmount Ave, Suite 210, Pasadena, CA 91105-3150 | 2013-12-30 |
| 1679826226 | Ayad Alanizi, Md, Inc. | Clinic/Center | 127 N Madison Ave Ste 106, Pasadena, CA 91101-1750 | 2012-10-19 |
| 1598033920 | Jacklin Poladian, M.d., Inc. | Clinic/Center | 301 S Fair Oaks Ave, Suite 403, Pasadena, CA 91105-2561 | 2011-12-13 |
| 1245526029 | Canyon Vista Healthcare Medical Corporation | Clinic/Center | 2319 E Washington Blvd, Suite One, Pasadena, CA 91104-1945 | 2011-06-21 |
| 1477797306 | Eclat Medical, Inc | Clinic/Center | 50 Bellefontaine St, #203, Pasadena, CA 91105-3132 | 2009-04-22 |
| Find all providers in PASADENA | ||||
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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.