KELLY TANNER TEEL (NPI# 1538462619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538462619 |
| Entity Type | Individual |
| Full Name | KELLY TANNER TEEL |
| Other Name | KELLY TANNER TEEL |
| Credential | PA-C |
| Practice Address |
506 Graham Dr Suite 170 Tomball TX 77375-3346 |
| Practice Telephone | 2812599943 |
| Practice Fax Number | 2812599142 |
| Mailing Telephone | 2812599943 |
| Mailing Fax Number | 2812599142 |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2015-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA07013 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA07013 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS LICENSE | PA07013 | 01 |
| TX | 297624301 | 05 | |
| TX | 297624302 | 05 |
| Street Address |
506 GRAHAM DR SUITE 170 |
| City | TOMBALL |
| State | TX |
| Zip Code | 77375-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569398 | Raka Chauhan Gohel | Pain Medicine | 506 Graham Dr, 240, Tomball, TX 77375-3346 | 2005-06-27 |
| 1396293965 | Bacas Interventional Pain Mangement | Anesthesiology | 506 Graham Dr, Suite 190, Tomball, TX 77375-3346 | 2016-09-13 |
| 1174076376 | Texas Elite Laboratory, Inc. | Clinical Medical Laboratory | 506 Graham Dr, Suite 190, Tomball, TX 77375-3346 | 2016-07-25 |
| 1043681612 | Ginny Jacobs | Clinical Medical Laboratory | 506 Graham Dr, Suite190, Tomball, TX 77375-3346 | 2015-10-08 |
| 1366824591 | Texas Gastroenterology Associates, P.a | Internal Medicine | 506 Graham Dr, #230, Tomball, TX 77375-3346 | 2015-06-24 |
| 1144634171 | Charles Robbins | Nurse Practitioner | 506 Graham Dr, Tomball, TX 77375-3346 | 2014-06-18 |
| 1649512096 | Spring Creek Anesthesia, Pllc | Anesthesiologist Assistant | 506 Graham Dr, Suite 240, Tomball, TX 77375-3346 | 2013-03-25 |
| 1861768483 | Caring Professional Aco Group | Family Medicine | 506 Graham Dr, Suite 200, Tomball, TX 77375-3346 | 2012-03-28 |
| 1730412271 | Texas Family Medicine Center, Pa | Family Medicine | 506 Graham Dr, Suite 200, Tomball, TX 77375-3346 | 2009-09-16 |
| 1699918706 | Yousenasna Group LLC | Pharmacy | 506 Graham Dr, Suite 140, Tomball, TX 77375-3346 | 2009-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063997997 | Michael Jahn | Counselor | 103 Tadpole Court, Woodlands, TX 77375 | 2018-09-26 |
| 1467943266 | Willow Creek Smiles Pllc | Clinic/Center | 9166 Farm To Market 2920 Rd, Suite 900, Tomball, TX 77375 | 2018-05-29 |
| 1962991315 | Betty Harbour | Technician | 10 Capri Bend, Tom Ball, TX 77375 | 2018-05-01 |
| 1336652353 | Juanita Dolores Paras | Occupational Therapy Assistant | 19203 Carriage Vale Ln, Tomball, TX 77375 | 2017-11-13 |
| 1215446885 | Ideal Dental of Augusta Pines Pllc | Dentist | 25760 Kuykendahl, Suite A, Tomball, TX 77375 | 2017-09-26 |
| 1285151936 | Cagney Reeves | Pharmacist | 28520 Tobmall Parkway, Tomball, TX 77375 | 2017-08-24 |
| 1710411616 | Perseverance Heatlh Innovation Ltd | Contractor | 21706 Willow Downs, Tomball, TX 77375 | 2017-04-18 |
| 1972042158 | Rite Choice Healthcare, Pllc | Dentist | 27030 Tomball Pkwy, Tomball, TX 77375 | 2017-02-21 |
| 1306398029 | Pharmcare Usa of Houston LLC | Pharmacy | 420 Chestnut Business Park Dr., Suite C, Tomball, TX 77375 | 2016-10-28 |
| 1992256325 | Wal-mart Stores Texas, LLC | Technician/Technologist | 25800 Kuykendahl Road, Tomball, TX 77375 | 2016-10-20 |
| Find all providers in zip 77375 | ||||
| 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 |
|---|---|---|---|---|
| 1700377249 | Yen Bui | Physician Assistant | 11931 Laurel Meadow Dr, Tomball, TX 77377 | 2018-05-21 |
| 1740680115 | Stephanie Mcgee | Physician Assistant | 425 Holderrieth Blvd Ste 212, Tomball, TX 77375-4552 | 2014-09-03 |
| 1053754796 | Shamsa Khalil | Physician Assistant | 28439 Tomball Pkwy, Tomball, TX 77375-3382 | 2013-04-11 |
| 1194091280 | Jessica Reynolds Walter | Physician Assistant | 26500 Kuykendahl Rd, Tomball, TX 77375 | 2012-03-22 |
| 1285905828 | Alana L Isaacks | Physician Assistant | 455 School St Ste 49, Tomball, TX 77375-4688 | 2012-01-12 |
| 1295067106 | Fidanis Ndokama | Physician Assistant | 28455 Tomball Parkway, Tomball, TX 77375 | 2010-02-02 |
| 1457529752 | William Todd Hammond | Physician Assistant | 919 Graham Dr Ste A, Tomball, TX 77375-3336 | 2008-02-20 |
| 1922102250 | Todd P. Kielman | Physician Assistant | 506 Graham Dr Ste 150, Tomball, TX 77375-3346 | 2006-09-08 |
| 1912925603 | Pasquinel G Glenn | Physician Assistant | 27933 Tomball Pkwy, Tomball, TX 77375-6415 | 2006-07-18 |
| 1215543467 | Carson Craig Doty | Physician Assistant | 506 Graham Dr Ste 200, Tomball, TX 77375-3346 | 2020-09-22 |
| Find all providers in TOMBALL | ||||
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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.