TRADITIONAL CHINESE MEDICINE (NPI# 1558536011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558536011 |
| Entity Type | Organization |
| Organization Name | TRADITIONAL CHINESE MEDICINE |
| Practice Address |
17045 El Camino Real Ste 225 Houston TX 77058-2649 |
| Mailing Address |
17045 El Camino Real Ste. 225 Houston TX 77058-2649 |
| Practice Telephone | 2814886300 |
| Practice Fax Number | 2814801959 |
| Mailing Telephone | 2814886300 |
| Mailing Fax Number | 2814801959 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |
| Authorized Official Name | MRS. LESLIE M GRAHAM (CHIROPRACTOR/ACUPUNTRIST) |
| Authorized Official Telephone | 2814886300 |
| Authorized Official Credential | MS,DC,LAC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
DC 5863 | TX | Chiropractic Providers |
| Street Address |
17045 EL CAMINO REAL STE 225 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77058-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639131469 | Monica Lynn Montoya | Chiropractor | 17045 El Camino Real, Suite 200, Houston, TX 77058-2649 | 2006-04-05 |
| 1730625229 | Christopher S Marullo | Counselor | 17045 El Camino Real, Suite 210, Houston, TX 77058-2649 | 2017-01-09 |
| 1063965739 | Samantha Salazar | Counselor | 17045 El Camino Real, Suite 211, Houston, TX 77058-2649 | 2016-07-29 |
| 1568838027 | Allison Rankin | Physical Therapist | 17045 El Camino Real, Unit 106, Houston, TX 77058-2649 | 2015-08-18 |
| 1225420052 | Kathleen Moses | Occupational Therapist | 17045 El Camino Real, Suite 106, Houston, TX 77058-2649 | 2015-03-03 |
| 1831581123 | Smac Podiatry | Clinic/Center | 17045 El Camino Real, Houston, TX 77058-2649 | 2015-02-24 |
| 1720481039 | Laurie Gibbs | Speech-Language Pathologist | 17045 El Camino Real, Houston, TX 77058-2649 | 2014-09-30 |
| 1417366139 | Newman Psychology & Assoicates Pllc | Preferred Provider Organization | 17045 El Camino Real, 213, Houston, TX 77058-2649 | 2014-08-06 |
| 1891108965 | Sonja Halvorson | Occupational Therapist | 17045 El Camino Real, Suite 106, Houston, TX 77058-2649 | 2014-06-06 |
| 1114349388 | Jodi Renee Singer | Occupational Therapist | 17045 El Camino Real, Suite 106, Houston, TX 77058-2649 | 2014-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699248807 | Jolly Joseph | Nurse Practitioner | 18300, Houston Methodist, Houston, TX 77058 | 2019-01-10 |
| 1700372992 | Jasmin Elise Auzenne | Audiologist | 17625 El Camino Real Ste 155, Houston, TX 77058 | 2018-07-10 |
| 1053801225 | Dialyspa Vii LLC | Clinic/Center | 1411 Bonner St., Houston, TX 77058 | 2018-05-14 |
| 1699263285 | Pneucare, LLC | Durable Medical Equipment & Medical Supplies | 1322 Space Park Dr Ste C120, Houston, TX 77058 | 2018-04-29 |
| 1972005189 | Limy Fernandus | Nurse Practitioner | 985 E Nasa Pkwy, Houston, TX 77058 | 2018-03-03 |
| 1033623616 | Sigi Paul | Nurse Practitioner | 1210 El Camino Village Dr., Houston, TX 77058 | 2017-11-19 |
| 1881107845 | Jennifer Elise Hobson | Counselor | 1322 Space Park Dr Ste B123, Houston, TX 77058 | 2017-11-13 |
| 1174035778 | Agrarian Wellness, LLC | Registered Nurse | 17000 El Camino Real Ste 209, Houston, TX 77058 | 2017-11-04 |
| 1013468073 | Cynthia Bandemer | Counselor | 17300 El Camino Real Ste 107d, Houston, TX 77058 | 2016-10-14 |
| 1043698533 | Hopewell Home Healthcare LLC | Nursing Care | 18090 Kings Row, Houston, TX 77058 | 2015-05-15 |
| Find all providers in zip 77058 | ||||
| Taxonomy Code | 111NI0013X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760093231 | Sang Hoon Lee | Chiropractor | 14651 Philippine St Apt 3103, Houston, TX 77040-6969 | 2020-08-10 |
| 1922467133 | Shahram Shakeri | Chiropractor | 8313 Sw Freeway, Suite 223, Houston, TX 77074 | 2016-02-16 |
| 1770873523 | Obinna Lloyd Nwosu | Chiropractor | 9207 Country Creek Dr Ste 111, Houston, TX 77036-7745 | 2011-04-13 |
| 1942613153 | Champions Chiropractic Center, LLC | Chiropractor | 3960 Cypress Creek Pkwy, Houston, TX 77068-3521 | 2014-06-05 |
| 1174780308 | Woodway Rehab & Wellness Center Pa | Chiropractor | 4801 Woodway Dr, Suite 175-e, Houston, TX 77056-1813 | 2008-05-16 |
| 1821263583 | Masomeh Della Abtahi | Chiropractor | 9701 Richmond Ave, Suit 150, Houston, TX 77042-4633 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750996336 | Affordable Chiropractic, LLC | Chiropractor | 1138 Belt Line Rd Ste 135, Garland, TX 75040-1993 | 2020-09-10 |
| 1306462023 | Santa A Rosado | Chiropractor | 6112 Comfort Dr, Fort Worth, TX 76132-5009 | 2020-06-18 |
| 1124658976 | Kelsie Ann Miller | Chiropractor | 411 Harrold St Apt 1152, Fort Worth, TX 76107-3000 | 2020-01-21 |
| 1861022949 | Constance Mae Smith | Chiropractor | 1700 E Palm Valley Blvd Ste 400, Round Rock, TX 78664-4680 | 2020-01-17 |
| 1891337853 | Ellen Christy Vega | Chiropractor | 3295 S Cooper St Ste 127, Arlington, TX 76015-2359 | 2019-10-11 |
| 1295394625 | Nh Chiropractic Pain Management and Rehabilitation | Chiropractor | 1003 Legacy Ranch Rd, Suite 206, Waxahachie, TX 75165-1294 | 2019-06-10 |
| 1124548474 | Lone Star Exams | Chiropractor | 2514 E Cedar Bayou Lynchburg, Baytown, TX 77521-8401 | 2017-06-27 |
| 1568902625 | Philip Lening | Chiropractor | 7627 Rainbow Bend Dr, Pasadena, TX 77505-3897 | 2017-03-08 |
| 1003367731 | Tamikia Latray Prunty | Chiropractor | 8823 Valley Ranch Pkwy E, Apt 131, Irving, TX 75063-4802 | 2016-10-18 |
| 1407282007 | Karen Clark-singh | Chiropractor | 3236 Reid Dr Ste F, Corpus Christi, TX 78404-2525 | 2013-09-16 |
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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.