JOSUE MALDONADO CUSTODIO (NPI# 1609229525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609229525 |
Entity Type | Individual |
Full Name | JOSUE MALDONADO CUSTODIO |
Credential | M.D. |
Practice Address |
19333 Clay Rd Katy TX 77449-4001 |
Mailing Address |
800 W Sam Houston Pkwy S Ste 200 Houston TX 77042-1914 |
Practice Telephone | 7134626565 |
Mailing Telephone | 7134626565 |
Mailing Fax Number | 8328315369 |
Enumeration Date | 2016-07-15 |
Last Update Date | 2020-11-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | S8070 | TX | Allopathic & Osteopathic Physicians |
Street Address |
19333 CLAY RD |
City | KATY |
State | TX |
Zip Code | 77449-4001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962503243 | David Wayne Krusleski | Family Medicine | 19333 Clay Rd, Katy, TX 77449-4001 | 2006-09-26 |
1972094928 | Spring Branch Community Health Center | Dentist | 19333 Clay Rd, Katy, TX 77449-4001 | 2018-05-25 |
1265964902 | Andrea Michelle Jimenez | Pediatrics | 19333 Clay Rd, Katy, TX 77449-4001 | 2017-03-31 |
1376094193 | Demori Driver | Physician Assistant | 19333 Clay Rd, Katy, TX 77449-4001 | 2016-10-17 |
1073999827 | Flor De Maria Vasquez Rivera | Nurse Practitioner | 19333 Clay Rd, Katy, TX 77449 | 2015-08-04 |
1124417720 | Luis F Martinez | Counselor | 19333 Clay Rd, Katy, TX 77449-4001 | 2015-01-20 |
1548670128 | Spring Branch Community Health Center | Dentist | 19333 Clay Rd, Katy, TX 77449-4001 | 2014-05-05 |
1588945927 | Ebony R Walker | Nurse Practitioner | 19333 Clay Rd, Katy, TX 77449-4001 | 2011-08-30 |
1366690943 | Williams, Williams & Hanks Dba Incentives | Substance Abuse Rehabilitation Facility | 19333 Clay Rd, Katy, TX 77449-4001 | 2008-09-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407454507 | Mariah Maldonado | Behavior Technician | 2502 Providence Point Dr., Katy, TX 77449 | 2020-10-12 |
1053927863 | Helping Hands Senior Care, LLC | Home Health | 20135 Cable Brook Ln, Katy, TX 77449 | 2020-09-17 |
1730706953 | Erliz Jessenia Maldonado | Nurse Practitioner | 3919 N Fry Road, Katy, TX 77449 | 2020-07-03 |
1154956225 | Jptx Pllc | Dentist | 3011 West Grand Parkway North, Suite 200, Katy, TX 77449 | 2020-03-09 |
1831737345 | Tmd Services LLC | Non-emergency Medical Transport (VAN) | 21022 Iris Bloom Street, Katy, TX 77449 | 2019-12-16 |
1558911081 | Samatha Renee Morris | Technician | 27427 Slate Crossing Lane, Katy, TX 77449 | 2019-09-17 |
1275188518 | Sanitas Medical Center of Texas Pa | Clinic/Center | 2610 N. Mason Rd, Katy, TX 77449 | 2019-08-05 |
1265087472 | Sanitas Medical Center of Texas Pa | Family Medicine | 2610 North Mason Road, Katy, TX 77449 | 2019-08-05 |
1255993192 | Chelsea Rae Mitchell | Counselor | 21606 Ivory Gate Ln, Katy, TX 77449 | 2019-07-01 |
1376104992 | Vision Republic, Pllc | Optometrist | 23021 Mortan Ranch Rd., Ste D, Katy, TX 77449 | 2019-06-25 |
Find all providers in zip 77449 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588262695 | Buttercup Pediatrics Pllc | Pediatrics | 27524 Westridge Creek Ln Ste D, Katy, TX 77494-5290 | 2020-10-12 |
1346726585 | Ut Physicians Specialty Services | Pediatrics | 5503 Fry Rd, Katy, TX 77449 | 2018-07-11 |
1285141309 | Newborn and Pediatric Care of West Houston Pllc | Pediatrics | 636 Peek Rd, Katy, TX 77450-3186 | 2018-01-10 |
1922528165 | Ut Physicians | Pediatrics | 23960 Katy Fwy Ste 160, Katy, TX 77494-0891 | 2017-06-20 |
1649624636 | Kristen Diao | Pediatrics | 23960 Katy Fwy Ste 300, Katy, TX 77494-0887 | 2016-04-16 |
1073986352 | Just for Kids Pediatrics Pllc | Pediatrics | 418 Park Grove, Katy, TX 77450 | 2015-11-09 |
1891161626 | Springtime Pediatrics | Pediatrics | 23530 Kingsland Blvd., Ste. 100, Katy, TX 77494 | 2015-08-17 |
1831576925 | Enrique Gonzales Jr. | Pediatrics | 5502 1st St, Katy, TX 77493-2472 | 2015-04-28 |
1407242159 | Emily Claire Fong | Pediatrics | 23960 Katy Fwy Ste 250, Katy, TX 77494 | 2015-04-09 |
1710232293 | Brittany Faron | Pediatrics | 10450 Spring Green Blvd, Suite B, Katy, TX 77494-5908 | 2012-07-19 |
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.