PEACHTREE MEDICAL, PA (NPI# 1790726545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790726545 |
| Entity Type | Organization |
| Organization Name | PEACHTREE MEDICAL, PA |
| Practice Address |
10411 Veterans Memorial Dr Suite A Houston TX 77038-1501 |
| Practice Telephone | 8323277700 |
| Practice Fax Number | 8323277702 |
| Mailing Telephone | 8323277700 |
| Mailing Fax Number | 8323277702 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-08-17 |
| Authorized Official Name | DR. VINH QUANG LE (DIRECTOR) |
| Authorized Official Telephone | 8323277700 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | L8408 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 181871801 | 05 |
| Street Address |
10411 VETERANS MEMORIAL DR SUITE A |
| City | HOUSTON |
| State | TX |
| Zip Code | 77038-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386090280 | Phuong Pham | Nurse Practitioner | 10411 Veterans Memorial Dr, Suite A, Houston, TX 77038-1047 | 2016-05-10 |
| 1235501560 | Jordan J Maswoswe | Pharmacy | 10411 Veterans Memorial Dr, Suite B, Houston, TX 77038-1501 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871869545 | My West Mount Houston Dentist Inc | Dentist | 1500 West Mount Houston Road, Houston, TX 77038 | 2012-03-28 |
| 1699820266 | Danh Quang Le | Chiropractor | 10625 Veterans Memorial Dr., Suite E, Houston, TX 77038 | 2007-01-24 |
| 1043319569 | Jimmy N Crawford | Dentist | 1500 West Mount Houston Rd, Houston, TX 77038 | 2006-09-21 |
| 1275636896 | Danh Q Le | Chiropractor | 10625 Veterans Memorial Dr, Suite E, Houston, TX 77038 | 2006-09-07 |
| 1457406639 | Advanced Spinal Treatment Center | Chiropractor | 10625 Veterans Memorial Dr, Ste E, Houston, TX 77038 | 2007-01-25 |
| 1205302080 | Ursula Knowles | Occupational Therapy Assistant | 2503 Nelwood Dr, Houston, TX 77038-1021 | 2018-10-18 |
| 1588913305 | Jade Truong | Nurse Practitioner | 10625 Veterans Memorial Dr Ste D, Houston, TX 77038-1047 | 2012-09-07 |
| 1104227867 | Lorena Jimenez | Nurse Practitioner | 10625 Veterans Memorial Dr Ste D, Houston, TX 77038-1047 | 2014-09-11 |
| 1336484468 | Ann Vo | Nurse Practitioner | 10625 Veterans Memorial Dr Ste D, Houston, TX 77038-1047 | 2012-11-29 |
| 1568502722 | Clinical Care Pharmacy | Pharmacy | 2770 N Sam Houston Pkwy W, Houston, TX 77038-1206 | 2007-02-07 |
| Find all providers in zip 77038 | ||||
| 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.