VACCINE CENTER BRAESWOOD, PLLC (NPI# 1780098699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780098699 |
| Entity Type | Organization |
| Organization Name | VACCINE CENTER BRAESWOOD, PLLC |
| Practice Address |
8622 S Braeswood Blvd Houston TX 77031-1301 |
| Practice Telephone | 2818903822 |
| Practice Fax Number | 2818903844 |
| Mailing Telephone | 2818903822 |
| Mailing Fax Number | 2818903844 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-24 |
| Authorized Official Name | DR. SYED MUJEEB (CEO) |
| Authorized Official Telephone | 2818903822 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
M9517 | TX | Ambulatory Health Care Facilities |
| Y | 207Q00000X | Family Medicine | M9517 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
8622 S BRAESWOOD BLVD |
| City | HOUSTON |
| State | TX |
| Zip Code | 77031-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144462334 | Braeswood Vaccine Clinic,inc | Pediatrics | 8622 S Braeswood Blvd, Houston, TX 77031-1301 | 2009-04-02 |
| 1740797539 | Braeswood Urgent Care and Family Clinic | Nurse Practitioner | 8622 S Braeswood Blvd, Houston, TX 77031-1301 | 2018-01-03 |
| 1568988996 | Yamil Benech Jimenez I | Nurse Practitioner | 8622 S Braeswood Blvd, Houston, TX 77031-1301 | 2017-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185807 | Mosunmola Feyisetan Pikuda | Registered Nurse | 9200 West Bellfort Street, Apt 48, Houston, TX 77031 | 2018-08-28 |
| 1215413109 | Zleep Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 10511 Windsor Ln, Suite B111, Houston, TX 77031 | 2018-07-14 |
| 1821443367 | Westside Surgical Hospital, LLC | General Acute Care Hospital | 11375 W Sam Houston Pkwy, Suite 150, Houston, TX 77031 | 2016-05-03 |
| 1982028023 | Icon Health Services LLC | Home Health | 9102 Travistock Drive, Houston, TX 77031 | 2014-02-10 |
| 1033450739 | Healthchoice Pharmacy LLC | Pharmacy | 10001 West Bellfort, Houston, TX 77031 | 2013-03-06 |
| 1578873204 | Frances Uchenna Anyigbo | Intermediate Care Facility, Mentally Retarded | 11014 Ranier Dr, Houston, TX 77031 | 2010-10-15 |
| 1992014013 | Healthchoice Dme | Durable Medical Equipment & Medical Supplies | 10001 W. Bellfort Ste., K, Houston, TX 77031 | 2010-10-07 |
| 1811203375 | Tiffany Landry | Pharmacy Technician | 9222 Petersham Dr, Houston, TX 77031 | 2010-08-23 |
| 1356673990 | Latranda W Thurmond | Counselor | 10714 Silkwood Dr, Housotn, TX 77031 | 2010-02-08 |
| 1659563062 | Newlife Dme Supplies Inc. | Durable Medical Equipment & Medical Supplies | 10710 S Sam Houston Pkwy S., # 250, Houston, TX 77031 | 2007-08-10 |
| Find all providers in zip 77031 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871194670 | Priscilla Tehrani | Family Medicine | 615 North Loop E Unit 100, Houston, TX 77022-5934 | 2020-11-06 |
| 1871100032 | Umedly | Family Medicine | 708 Main St Fl 10, Houston, TX 77002-3246 | 2020-09-30 |
| 1255945010 | Steven X Nguyen Inc | Family Medicine | 6112 Bellaire Blvd Ste D, Houston, TX 77081-4913 | 2020-08-31 |
| 1871105023 | Health Right Choice | Family Medicine | 17550 W Little York Rd Ste 10, Houston, TX 77084-6321 | 2020-08-19 |
| 1275145625 | Global Health Equity Pllc | Family Medicine | 1232 Westheimer Rd, Houston, TX 77006-2641 | 2020-08-18 |
| 1083223804 | Patricia Nmukoso Enyi | Family Medicine | 2646 S Loop W Ste 270, Houston, TX 77054-5608 | 2020-07-28 |
| 1972121416 | Community Medical Clinic LLC | Family Medicine | 10008 Bellaire Blvd, Suite 108, Houston, TX 77072 | 2020-07-10 |
| 1164048526 | Clinica San Lucas Fuqua | Family Medicine | 11019 Fuqua St, Houston, TX 77089-2510 | 2020-06-22 |
| 1699397240 | Urgent Health Solutions Woodlake | Family Medicine | 9668 Westheimer Rd Ste 600, Houston, TX 77063-3252 | 2020-05-16 |
| 1649899964 | Lermnaim LLC | Family Medicine | 2919 Fm 1960 Rd Ste 120, Houston, TX 77073-2621 | 2020-04-16 |
| Find all providers in HOUSTON | ||||
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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.