OBIAGELI DUROUSSEAU (NPI# 1538792072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538792072 |
Entity Type | Individual |
Full Name | OBIAGELI DUROUSSEAU |
Practice Address |
5420 Dashwood Dr Houston TX 77081-5357 |
Mailing Address |
23 San Simeon Dr Manvel TX 77578-3286 |
Practice Telephone | 7139827019 |
Mailing Telephone | 3375321615 |
Enumeration Date | 2020-02-12 |
Last Update Date | 2020-02-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP144770 | TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
5420 DASHWOOD DR |
City | HOUSTON |
State | TX |
Zip Code | 77081-5357 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407855893 | Bellaire Family and General Practice Associates, P.a. | Family Medicine | 5420 Dashwood Dr, Suite 100, Houston, TX 77081-5357 | 2005-07-18 |
1851816490 | Johanna Pule | Social Worker | 5420 Dashwood Dr, Houston, TX 77081-5357 | 2017-08-04 |
1356722458 | Ut Physicians Specialty Services | Pediatrics | 5420 Dashwood Dr, Ste 100, Houston, TX 77081-5357 | 2015-06-15 |
1174920458 | Avenue Family Dentistry, Pllc | Dentist | 5420 Dashwood Dr, Suite 300, Houston, TX 77081-5357 | 2014-12-02 |
1851705305 | Ut Physicians | Family Medicine | 5420 Dashwood Dr, Houston, TX 77081-5357 | 2014-06-12 |
1447682521 | Kourtney Gisell Clark | Audiologist | 5420 Dashwood Dr, 310, Houston, TX 77081-5357 | 2013-07-31 |
1689019002 | Associates of Physical Therapy Specialists | Physical Therapist | 5420 Dashwood Dr, Suite 306, Houston, TX 77081-5357 | 2013-04-30 |
1982048385 | Jason S Grant | Physical Therapist | 5420 Dashwood Dr, Suite 306, Houston, TX 77081-5357 | 2013-04-29 |
1760744866 | Key Choice, LLC | Clinic/Center | 5420 Dashwood Dr, 207, Houston, TX 77081-5332 | 2012-06-13 |
1497043137 | Garima Arora | Psychiatry & Neurology | 5420 Dashwood Dr, Suite 103, Houston, TX 77081-5357 | 2011-07-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518461961 | Ahmed Elakkad | Radiology | 5704 Edgemoor Dr Apt 90, Houston, TX 77081 | 2018-03-21 |
1518471804 | Leslie Marquez | Nurse Practitioner | 6121 Hillcroft St Ste O, Houston, TX 77081 | 2017-11-22 |
1841704236 | Erick Noel Montoya Roll | Specialist/Technologist, Other | 5760 Gulfton St Apt 1549, Houston, TX 77081 | 2017-11-22 |
1023537743 | Pro Med Rx | Pharmacy | 5716 Bellaire Bldv, Ste. J, Houston, TX 77081 | 2017-09-13 |
1831627918 | Ali Ahmed Abdelkhalek Baiomy | Radiology | 5704 Edgemoor Dr, Apt 84, Houston, TX 77081 | 2017-06-01 |
1033657002 | Tmh Physician Associates Pllc | Orthopaedic Surgery | 5505 West Loop S Ste 100, Houston, TX 77081 | 2017-02-09 |
1982148854 | Greater Houston Psychiatric Associates | Psychologist | 4888 Loop Central Dr, Ste 510, Houston, TX 77081 | 2016-12-13 |
1184075657 | Kimble Elisabeth Chentnik | Optometrist | 6699 Chimney Rock, Suite 201, Houston, TX 77081 | 2016-06-27 |
1780042226 | Graves Community Health Clinic | Clinic/Center | 6910 Chetwood Dr. Ste. B, Houston, TX 77081 | 2016-01-28 |
1588058432 | Mi Rae Kim | Nurse Practitioner | 5420 Dashwood Dr Ste 100, Houston, TX 77081 | 2015-03-27 |
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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 |
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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.