IMD HEALTHCARE AND IMAGING (NPI# 1992074710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992074710 |
| Entity Type | Organization |
| Organization Name | IMD HEALTHCARE AND IMAGING |
| Practice Address |
13107 W Lake Houston Pkwy Houston TX 77044-5391 |
| Mailing Address |
7403 Kings River Ct Kingwood TX 77346-1475 |
| Practice Telephone | 2813603269 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Authorized Official Name | DR. HUMARA S GULL (CEO AND PRESIDENT) |
| Authorized Official Telephone | 2813603269 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
K1456 | TX | Ambulatory Health Care Facilities |
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
K1456 | TX | Ambulatory Health Care Facilities |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
K1456 | TX | Ambulatory Health Care Facilities |
| Street Address |
13107 W LAKE HOUSTON PKWY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77044-5391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073163077 | Michael Paul Cyr | Technician | 11306 Christian Dr., Houston, TX 77044 | 2019-09-12 |
| 1710458013 | Taylor Powell | Licensed Practical Nurse | 15027 Sheldon Ridge Way, Houston, TX 77044 | 2018-12-12 |
| 1205315611 | Magdalene Patricia Onyenekwe | Registered Nurse | 15410 Broken Hills Lane, Houston, TX 77044 | 2018-08-08 |
| 1730613076 | Decordova Eyewear LLC | Optometrist | 12230 West Lake Houston Parkway, Suite 155, Humble, TX 77044 | 2017-04-13 |
| 1407392871 | Keisha Aniece Welsh | Registered Nurse | 12919 Barkley Bend Lane, Houston, TX 77044 | 2017-01-10 |
| 1710438213 | Texas Alliance Surgical Center, LLC | Clinic/Center | 14315 E. Sam Houston Pkwy, Ste. 200, Houston, TX 77044 | 2016-10-19 |
| 1801345038 | National Vision, Inc. | Technician/Technologist | 14243 East Sam Houston Pkwy N, Suite 1000, Houston, TX 77044 | 2016-09-29 |
| 1043768443 | Signature Smiles Humble Pllc | Dentist | 14315 E. Sam Houston Parkway, Suite 100, Houston, TX 77044 | 2016-09-14 |
| 1902290554 | Andrea Folayan | Dentist | Four Lion Dental Boutique, 16430 West Lake Houston #700, Houston, TX 77044 | 2015-03-21 |
| 1306237904 | Summerwood Medical Center | Clinic/Center | 12665 W Lake Houston Pkwy, Houston, TX 77044 | 2015-02-18 |
| Find all providers in zip 77044 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398519 | Triniti Obgyn and Medspa, Pllc | Clinic/Center | 10902 Katy Fwy Apt 503, Houston, TX 77043-4918 | 2020-08-31 |
| 1215545751 | Fullilove Prregnancy Center | Clinic/Center | 1640 E Tc Jester Blvd Apt 1123, Houston, TX 77008-2579 | 2020-07-21 |
| 1265063853 | Egolink Express Inc | Clinic/Center | 10333 Harwin Dr Ste 518, Houston, TX 77036-1561 | 2020-02-01 |
| 1588201172 | Ptsd Foundation of America | Clinic/Center | 9724 Derrington Rd, Houston, TX 77064-5808 | 2019-12-03 |
| 1841840915 | Christine C Gooch | Clinic/Center | 8145 Highway 6 S Ste 130, Houston, TX 77083-5740 | 2019-09-19 |
| 1437713328 | Vascmed LLC | Clinic/Center | 14441 Memorial Dr Ste 16, Houston, TX 77079-6737 | 2019-04-25 |
| 1467916940 | Rcb Funding Group LLC | Clinic/Center | 950 Threadneedle St # 295, Houston, TX 77079-2925 | 2019-01-29 |
| 1083107379 | Testosterone Rejuvenation and Medical Spa, Inc | Clinic/Center | 430 Highway 6 S Ste 204, Houston, TX 77079-2339 | 2018-06-11 |
| 1235629049 | Star Luxury Enterprises Inc | Clinic/Center | 10101 Bissonnet St Ste 101, Houston, TX 77036-7855 | 2018-05-16 |
| 1679096721 | Hope Adol Outpatient Txt Center for Mental and Behavior Health, LLC | Clinic/Center | 9006 Scott St, Houston, TX 77051-2751 | 2017-07-20 |
| 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.