MALLISSA LEE (NPI# 1720510902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720510902 |
| Entity Type | Individual |
| Full Name | MALLISSA LEE |
| Practice Address |
18545 University Blvd 526 Sugar Land TX 77479-4599 |
| Practice Telephone | 4694751285 |
| Mailing Telephone | 4694751285 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | Other Service Providers | ||
| Y | 246X00000X | Spec/Tech, Cardiovascular | Technologists, Technicians & Other Technical Service Providers | ||
| N | 246XC2903X |
Spec/Tech, Cardiovascular Specialization: Vascular Specialist |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 246YC3302X |
Spec/Tech, Health Info Specialization: Coding Specialist, Physician Office Based |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
Technologists, Technicians & Other Technical Service Providers | ||
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
18545 UNIVERSITY BLVD 526 |
| City | SUGAR LAND |
| State | TX |
| Zip Code | 77479-4599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556814 | Yewtree Assisted Living & Memory Care | Assisted Living Facility | 2100 Village Court, Sugar Land, TX 77479 | 2020-07-30 |
| 1386253235 | Sheeja Mathews Tharappel | Registered Nurse | 3819 Pearl Pass Lane, Sugar Land, TX 77479 | 2020-07-27 |
| 1417579004 | Esperanza Velasquez | Social Worker | 806 Heather Park Ct., Sugar Land, TX 77479 | 2020-05-18 |
| 1730717927 | Ajay K Bhora Md Pa | Internal Medicine | 2647 Cordes Drive, Sugar Land, TX 77479 | 2020-04-01 |
| 1790316693 | Anuki Rukshani Weerakoon-wijeratne | Pharmacy Technician | 16605 Southwest Fwy Mob3, Ste 100, Sugar Land, TX 77479 | 2020-01-29 |
| 1952957961 | Nicole Marie Pon | Nurse Practitioner | Houston Methodist Sugar Land Hospital, 16655 Southwest Fwy, Sugar Land, TX 77479 | 2019-08-15 |
| 1083279731 | Phoenix Solutions Pllc | Clinic/Center | 815 Flagstone Pass Ct, Sugar Land, TX 77479 | 2019-05-08 |
| 1538722335 | Daniel Max & Marc Andrea LLC | Optometrist | 13582 University Blvd #600, Sugar Land, TX 77479 | 2019-04-17 |
| 1962968727 | Dentists of Riverstone, PC | Dentist | 18802 University Blvd., Ste. 110, Sugar Land, TX 77479 | 2019-02-18 |
| 1578048104 | Sonam Dhuka | Nurse Practitioner | 16605 Sw Freeway, Suite 115, Sugarland Texas 77479, Sugar Land, TX 77479 | 2018-09-28 |
| Find all providers in zip 77479 | ||||
| Taxonomy Code | 246X00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| An allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three areas: invasive cardiology, noninvasive cardiology, and noninvasive peripheral vascular study. Cardiovascular technologists are one type of allied health professional for which the Committee on Allied Health Education and Accreditation has accredited education programs |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 159. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553292 | John Lambert | Spec/Tech, Cardiovascular | 3213 Park Springs Loop, Pflugerville, TX 78660-3693 | 2020-06-24 |
| 1992156020 | Precision Monitoring LLC | Spec/Tech, Cardiovascular | 388 Sw Johnson Ave Ste 201, Burleson, TX 76028-5352 | 2016-06-30 |
| 1497120091 | Jonathan Wright | Spec/Tech, Cardiovascular | 6920 Rainwood Dr, Plano, TX 75024-7539 | 2015-12-08 |
| 1174847735 | Cardiac Dynamics,llc | Spec/Tech, Cardiovascular | 16980 Dallas Pkwy Ste 120, Dallas, TX 75248-1908 | 2010-03-24 |
| 1114173770 | Erum Saleem | Spec/Tech, Cardiovascular | 26410 Sagewood Forest Dr, Katy, TX 77494-0319 | 2008-08-14 |
| 1962695346 | Nnamdi A Nwokeuku | Spec/Tech, Cardiovascular | 2617 14th St, Plano, TX 75074-6528 | 2007-08-20 |
| 1912029331 | Vexor Medically Advanced Wellness Inc | Spec/Tech, Cardiovascular | 3102 Mona Lee Ln, Houston, TX 77080-3016 | 2007-04-05 |
| 1962534396 | Virginia Ann Chase | Spec/Tech, Cardiovascular | 3409 Worth St. #725, Dallas, TX 75246 | 2007-03-12 |
| 1558492801 | Barbara Kay Magwire | Spec/Tech, Cardiovascular | 845 E Houston St, Paris, TX 75460-4634 | 2007-03-08 |
| 1952457103 | Texas Perfusion Associates, P.a. | Spec/Tech, Cardiovascular | 3463 Magic Drive, Suite T21, San Antonio, TX 78229 | 2007-01-28 |
| Find all providers with the same taxonomy | ||||
| City | SUGAR LAND |
| Zip Code | 77479 |
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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.