MISSION DOCTORS GROUP (NPI# 1700893849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700893849 |
| Entity Type | Organization |
| Organization Name | MISSION DOCTORS GROUP |
| Other Organization Name | MISSION HEART AND VASCULAR |
| Practice Address |
900 S Bryan Rd Mission TX 78572-6613 |
| Mailing Address |
910 S Bryan Rd Ste 103 Mission TX 78572-6615 |
| Practice Telephone | 9563231457 |
| Mailing Telephone | 9565987000 |
| Mailing Fax Number | 9565987001 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | LESTER EDWARD SURROCK (CFO) |
| Authorized Official Telephone | 9563239106 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS PIN | 0033DE | 01 |
| TX | 080646502 | 05 |
| Other Name | Type Code |
|---|---|
| Mission Heart and Vascular | Doing Business As Name - Organization |
| Street Address |
900 S BRYAN RD |
| City | MISSION |
| State | TX |
| Zip Code | 78572-6613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833985 | Mission Hospital, Inc. | General Acute Care Hospital | 900 S Bryan Rd, Mission, TX 78572-6613 | 2005-07-07 |
| 1669005740 | Mission Hospital Inc | Pharmacy | 900 S Bryan Rd, Mission, TX 78572-6613 | 2020-02-18 |
| 1205476280 | Juan Francisco Bernal | Specialist/Technologist, Other | 900 S Bryan Rd, Mission, TX 78572-6613 | 2020-01-08 |
| 1881246064 | Daniel Hinojosa | Physical Therapist | 900 S Bryan Rd, Mission, TX 78572-6613 | 2019-07-09 |
| 1033687520 | Maria S Garza | Nurse Practitioner | 900 S Bryan Rd, Mission, TX 78572-6613 | 2018-11-02 |
| 1598246951 | Miguel Angel Garcia | Physical Therapy Assistant | 900 S Bryan Rd, Mission, TX 78572-6613 | 2018-08-23 |
| 1144700857 | Berenice Mares | Physical Therapy Assistant | 900 S Bryan Rd, Mission, TX 78572-6613 | 2018-08-21 |
| 1295233138 | Elizabeth Olivarez | Nurse Practitioner | 900 S Bryan Rd, Mission, TX 78572-6613 | 2018-01-25 |
| 1952796856 | Domiciano Espinosa | Physician Assistant | 900 S Bryan Rd, Mission, TX 78572-6613 | 2015-03-30 |
| 1346671401 | Addievi T Amper | Nurse Practitioner | 900 S Bryan Rd, Mission, TX 78572-6613 | 2013-11-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676814 | Trinity Hospice Care, LLC. | Physical Therapist | 1713 W Griffin Pkwy., Ste. D, Mission, TX 78572 | 2020-07-22 |
| 1710528187 | Te Cuidamos, LLC | Home Health | 2205 N Inspiration Rd, Ste A, Mission, TX 78572 | 2019-10-07 |
| 1356806475 | Severo Esteban Saenz | Physical Therapist | 816 Travis St Apt E55, Mission, TX 78572 | 2019-02-02 |
| 1609352715 | Community First Home Health | Home Health | 1707 Merlin, Mission, TX 78572 | 2018-07-12 |
| 1831681279 | Yuriko Garcia | Physician Assistant | 910 S. Bryan Rd., Suite #105, Mission, TX 78572 | 2018-06-01 |
| 1982193918 | Dalinda Valdez | Registered Nurse | 1707 Merlin Dr, Mission, TX 78572 | 2018-05-04 |
| 1487152260 | Azul Homecare, LLC. | Technician | 2007 East Griffin Parkway, Ste. C, Mission, TX 78572 | 2018-01-26 |
| 1760998371 | J Bravo Medical Services | Clinic/Center | 2001 W 3 Mile Line Rd, 2400 & 2500, Mission, TX 78572 | 2017-12-18 |
| 1821528654 | Bit Na Lee | Dentist | 213 E Expy 83, Mission, TX 78572 | 2017-06-14 |
| 1568901957 | Ofelia Perez Hernandez Dds Pllc | Dentist | 8360 W. Expy 83, Mission, TX 78572 | 2017-02-17 |
| Find all providers in zip 78572 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518441567 | Amputation Prevention Center of Mission Pa | Internal Medicine | 1317 St Claire Blvd Ste A5, Mission, TX 78572-6636 | 2018-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198665 | Na Medical, Pllc | Internal Medicine | 4310 James Casey St Ste A, Austin, TX 78745-1251 | 2020-09-09 |
| 1497367015 | Trident Heart and Vascular, Pllc | Internal Medicine | 5801 Oakbend Trl Ste 270, Fort Worth, TX 76132-3922 | 2020-08-17 |
| 1891251104 | Woodlands Elite Cardiology, Pllc | Internal Medicine | 150 Pine Forest Dr Ste 702, Shenandoah, TX 77384-5317 | 2019-02-12 |
| 1033684113 | Summit Heart and Vascular Pllc | Internal Medicine | 6138 Precinct Line Rd Ste 100, Hurst, TX 76054-2610 | 2018-10-04 |
| 1104329440 | Deerbrook Cath Lab LLC | Internal Medicine | 18450 Hwy 59 Suite 101, Humble, TX 77338 | 2018-03-13 |
| 1073015681 | Dfw Heart and Wellness Center, Pllc | Internal Medicine | 425 N Highland Ave Ste 220, Sherman, TX 75092-7383 | 2018-02-28 |
| 1346758695 | Cardiac Cin of North Texas | Internal Medicine | 6565 N Macarthur Blvd Ste 225c, Irving, TX 75039-2490 | 2018-01-19 |
| 1487162368 | Cardiac Cin of West Texas LLC | Internal Medicine | 18911c Hardy Oak Blvd, San Antonio, TX 78258-4966 | 2018-01-13 |
| 1114435096 | Cardiac Cin of Austin LLC | Internal Medicine | 401 Congress Ave Ste 1540c, Austin, TX 78701-4071 | 2018-01-13 |
| 1275040925 | Prime Heart and Vascular, Pllc | Internal Medicine | 2633 Dallas Pkwy Ste 100, Plano, TX 75093-4715 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
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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.