WAFA MEHDI (NPI# 1508338385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508338385 |
| Entity Type | Individual |
| Full Name | WAFA MEHDI |
| Credential | PA-C |
| Practice Address |
24215 Kingsland Blvd Katy TX 77494-2976 |
| Mailing Address |
4427 Selwyn Rd Richmond TX 77407-1528 |
| Practice Telephone | 2815993313 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA12271 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | MM5091563 | 01 | |
| TX | TEXAS MEDICAL BOARD | PA12271 | 01 |
| Street Address |
24215 KINGSLAND BLVD |
| City | KATY |
| State | TX |
| Zip Code | 77494-2976 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598397275 | Dioscar J Delgado | Physician Assistant | 23902 Rottino Dr, Katy, TX 77493-3645 | 2020-02-10 |
| 1134779440 | Destin Knowles Vantyle | Physician Assistant | 1259 Fm 1463 Rd # 500, Katy, TX 77494-5470 | 2019-09-18 |
| 1144881871 | Hannah Elizabeth Kinne | Physician Assistant | 1903 Garden Terrace Dr, Katy, TX 77494-7546 | 2019-06-24 |
| 1386109064 | Avani Mukesh Mehta | Physician Assistant | 21700 Kingsland Blvd Ste 104, Katy, TX 77450-2546 | 2019-02-06 |
| 1063919413 | Andre'lyn T Williams | Physician Assistant | 21022 Creek Edge Ct, Katy, TX 77449-4065 | 2018-04-11 |
| 1124532726 | Katherine Helen Carr | Physician Assistant | 23920 Katy Fwy Ste 560, Katy, TX 77494-0902 | 2017-11-20 |
| 1053714782 | Melanie Farrell | Physician Assistant | 21820 Kingsland Blvd Ste 101, Katy, TX 77450 | 2014-10-08 |
| 1538568506 | Cameron Perry | Physician Assistant | 3919 N Fry Rd, Katy, TX 77449-6731 | 2014-08-15 |
| 1922311646 | Trent A Renfrow | Physician Assistant | 700 Westgreen Blvd, Suite 300, Katy, TX 77450-2799 | 2010-07-22 |
| 1154574275 | Kristin Shea Fitzgerald Gutweiler | Physician Assistant | 1715 Emerald River Dr, Katy, TX 77494-2807 | 2008-11-03 |
| 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.