LA MANSION INTERESTS INC (NPI# 1780992925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780992925 |
| Entity Type | Organization |
| Organization Name | LA MANSION INTERESTS INC |
| Other Organization Name | LA MANCION DEVELOPMENTAL WELLNESS CENTER |
| Practice Address |
2620 Tanglewilde St Houston TX 77063-3203 |
| Practice Telephone | 7138608383 |
| Practice Fax Number | 7138608384 |
| Mailing Telephone | 7138608383 |
| Mailing Fax Number | 7138608384 |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2011-10-03 |
| Authorized Official Name | ZAHRA LILLIE TAAT (CEO) |
| Authorized Official Telephone | 7138608383 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| La Mancion Developmental Wellness Center | Doing Business As Name - Organization |
| Street Address |
2620 TANGLEWILDE ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77063-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417241175 | Carolyn Wyly | Dietetic Technician, Registered | 2620 Tanglewilde St, Houston, TX 77063-3203 | 2011-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104443266 | Diagnostic Enterprises | Clinical Medical Laboratory | 2540 Fondren Road, Suite 265, Houston, TX 77063 | 2020-07-06 |
| 1184247926 | Two Hands Pllc | Day Training, Developmentally Disabled Services | 3945 Braxton Dr Ste 1, Houston, TX 77063 | 2020-05-27 |
| 1700445376 | Diana Carter | Licensed Vocational Nurse | 1602 S City Oak Ln, Houston, TX 77063 | 2019-06-07 |
| 1952964264 | Pamela Lowrance | Specialist | 8401 Westhiemer Rd. #503, Inside Blue Lion Salon Studios, Houston, TX 77063 | 2019-04-22 |
| 1104381649 | Jaileen Grullon | Physical Therapy Assistant | 9638 Beverlyhill Street, Houston, TX 77063 | 2019-02-08 |
| 1134696826 | Adriane De Freitas Barroso | Psychologist | 7670 Woodway Dr Ste 360, Houston, TX 77063 | 2018-10-31 |
| 1740765932 | Sean A Maxwell | Physical Therapist | 2500 Fondern Road, Suite 302, Houston, TX 77063 | 2018-10-03 |
| 1578065074 | Johannah Sommer Garza | Psychologist | 7660 Woodway Dr Ste 599, Houston, TX 77063 | 2018-03-01 |
| 1477069995 | Modern Med Health Solutions LLC | Nurse Practitioner | 9950 Westpark Dr Ste 312, Houston, TX 77063 | 2017-12-20 |
| 1306360177 | Desmond Eugene Blake Sr. | Specialist | 3201 Fondren Rd, Houston, TX 77063 | 2017-08-02 |
| Find all providers in zip 77063 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1952886699 | Accucare Medical Clinic Pllc | Clinic/Center | 2918 San Jacinto St Ste 150, Houston, TX 77004 | 2018-09-28 |
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| 1164921300 | Texas County Memorial Hospital | Clinic/Center | 1333 S Sam Houston Blvd Ste A, Houston, MO 65483 | 2018-02-02 |
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| 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.