PRAETORIAN RX LLC (NPI# 1801340542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801340542 |
| Entity Type | Organization |
| Organization Name | PRAETORIAN RX LLC |
| Practice Address |
1880 S Dairy Ashford Rd Suite 106 Houston TX 77077-4760 |
| Practice Telephone | 8132792729 |
| Practice Fax Number | 8132792728 |
| Mailing Telephone | 8132792729 |
| Mailing Fax Number | 8132792728 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |
| Authorized Official Name | DR. KENNETH DEWAYNE LANIER (PRESIDENT) |
| Authorized Official Telephone | 8132792729 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811424195 | Praetorian Rx LLC | Social Worker | 1880 S Dairy Ashford Rd Ste 106, Houston, TX 77077-4759 | 2017-05-17 |
| 1699040055 | Praetorian Rx LLC | Clinic/Center | 20429 Autumn Fern Ave, Tampa, FL 33647-2967 | 2012-03-19 |
| Street Address |
1880 S DAIRY ASHFORD RD SUITE 106 |
| City | HOUSTON |
| State | TX |
| Zip Code | 77077-4760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457922 | Tam Minh Ha | Pharmacist | 2700 S Kirkwood, Houston, TX 77077 | 2020-11-02 |
| 1497396881 | Laboratory Concepts | Technician, Pathology | 2025 Gentryside Dr, Houston, TX 77077 | 2019-10-07 |
| 1447730940 | Olufunke O'banion | Registered Nurse | 1011 South Texas 6, Suite 311, Houston, TX 77077 | 2018-08-15 |
| 1548753536 | Jasmine M Mckenzie | Specialist | 12350 Westhemier Rd, Suite 128, Houston, TX 77077 | 2018-06-13 |
| 1396233698 | Waabeke Charlotte Nwikpo | Counselor | 1919 S Kirkwood Rd Apt 144, Houston, TX 77077 | 2018-04-23 |
| 1447747894 | Westside Medical Centers of Texas Pllc | Chiropractor | 1137 Highway 6 South, Houston, TX 77077 | 2018-04-20 |
| 1649786427 | Medical Care Innovation, P.C. | Clinic/Center | 1254 Enclave Parkway, Houston, TX 77077 | 2017-12-16 |
| 1194242545 | Lydia Danielle Breedlove | Specialist/Technologist | 12310 Rincon Drive, Houston, TX 77077 | 2017-08-26 |
| 1649602962 | Bereket Haileab Tsegai | Optometrist | 11660 Westheimer Rd Ste 125, Houston, TX 77077 | 2013-08-09 |
| 1851733273 | Tomekia Alvarez | Occupational Therapy Assistant | 1815 Enclave Parkway, Apt 6307, Houston, TX 77077 | 2013-07-26 |
| Find all providers in zip 77077 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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|---|---|---|---|---|
| 1790397834 | Gloria Kelly | Clinic/Center | 13818 Dentwood Dr, Houston, TX 77014-2665 | 2020-08-19 |
| 1992340822 | Haven of Memorable Experiences Inc | Clinic/Center | 5536 Tremper St, Houston, TX 77020-4747 | 2019-11-14 |
| 1154975449 | The Wellness Loft, LLC | Clinic/Center | 13960 Hillcroft St Apt 1014, Houston, TX 77085-1514 | 2019-07-25 |
| 1396303574 | At Home Lymphatic Wellness | Clinic/Center | 9898 Bissonnet St Ste 665, Houston, TX 77036 | 2019-06-03 |
| 1225518418 | Carita Davis-dobbins | Clinic/Center | 8775 Othello St, Houston, TX 77029-3353 | 2018-08-16 |
| 1134611072 | Complete Care Mobile Clinic LLC | Clinic/Center | 9894 Bissonnet St Ste 493, Houston, TX 77036-8243 | 2018-06-06 |
| 1124520960 | Complete Plus Healthcare Inc | Clinic/Center | 6235 Laura Koppe Rd Ste B, Houston, TX 77016 | 2018-03-07 |
| 1114470929 | Better Day Healthcare Associates Inc | Clinic/Center | 1930 Airport Boulevard, Houston, TX 77051-0000 | 2016-07-27 |
| 1780042226 | Graves Community Health Clinic | Clinic/Center | 6910 Chetwood Dr. Ste. B, Houston, TX 77081 | 2016-01-28 |
| 1548667892 | Kharisma Pharmacy | Clinic/Center | 8608 S Braeswood Blvd, Houston, TX 77031-1301 | 2014-12-02 |
| 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.