| Harris Health | |
|
1504 Taub Loop Houston TX 77030-1608 | |
| (713) 873-2000 | |
| (713) 873-2305 |
| Full Name | Harris Health |
|---|---|
| Speciality | Family Medicine |
| Location | 1504 Taub Loop, Houston, Texas |
| Authorized Official Name and Position | Victoria Nikitin (EVP, CFO) |
| Authorized Official Contact | 3464260462 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harris Health 4800 Fournace Pl Ste 600w Bellaire TX 77401-2324 Ph: (346) 426-0478 | Harris Health 1504 Taub Loop Houston TX 77030-1608 Ph: (713) 873-2000 |
| NPI Number | 1356428460 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 09/04/2024 |
| Medicare PECOS PAC ID | 1456346402 |
|---|---|
| Medicare Enrollment ID | O20040806000430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356428460 | NPI | - | NPPES |
| 133355106 | Medicaid | TX | |
| 133355110 | Medicaid | TX | |
| 133355111 | Medicaid | TX |
| Provider Name | Kamal F Busaidy |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1780613901 PECOS PAC ID: 5395715072 Enrollment ID: I20040729000713 |
| Provider Name | Ilianna R Kuntz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366536161 PECOS PAC ID: 2668443151 Enrollment ID: I20040805001677 |
| Provider Name | Laresa A Ridge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831120310 PECOS PAC ID: 8224092341 Enrollment ID: I20041117000854 |
| Provider Name | Esmaeil M Porsa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013944461 PECOS PAC ID: 1254352263 Enrollment ID: I20051216000662 |
| Provider Name | Mark E Wong |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1841224714 PECOS PAC ID: 7719073345 Enrollment ID: I20071012000329 |
| Provider Name | John D Smith |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891884052 PECOS PAC ID: 3971693672 Enrollment ID: I20071219000133 |
| Provider Name | Debra J Kaiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588810691 PECOS PAC ID: 8921151473 Enrollment ID: I20090730000275 |
| Provider Name | Alecia Y Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124197124 PECOS PAC ID: 1052464344 Enrollment ID: I20090804000631 |
| Provider Name | Kimberly N Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518297720 PECOS PAC ID: 6305980574 Enrollment ID: I20100225000795 |
| Provider Name | Gary Michael Lepow |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1114905510 PECOS PAC ID: 0941378285 Enrollment ID: I20110125000748 |
| Provider Name | Deidra D Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023318904 PECOS PAC ID: 6002099363 Enrollment ID: I20110323000769 |
| Provider Name | Marlyn Y Peters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417089772 PECOS PAC ID: 3577747211 Enrollment ID: I20110405000368 |
| Provider Name | Ingrid Hansen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720398183 PECOS PAC ID: 3779503586 Enrollment ID: I20110509000147 |
| Provider Name | Joseph J J Chen |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1851400519 PECOS PAC ID: 7113197120 Enrollment ID: I20110831000188 |
| Provider Name | Peace U Egbulefu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851685234 PECOS PAC ID: 7911171889 Enrollment ID: I20111111000288 |
| Provider Name | Issa A Hanna |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1346441581 PECOS PAC ID: 4688835101 Enrollment ID: I20120410000671 |
| Provider Name | Alfredo R Arribas |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1982871323 PECOS PAC ID: 8820240039 Enrollment ID: I20121217000390 |
| Provider Name | Cindy N Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902135544 PECOS PAC ID: 3870732159 Enrollment ID: I20130618000053 |
| Provider Name | Jonathan W Shum |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1518110329 PECOS PAC ID: 5890920037 Enrollment ID: I20131024001477 |
| Provider Name | James C Melville |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972751907 PECOS PAC ID: 6406171735 Enrollment ID: I20150209001667 |
| Provider Name | Harry D Gilbert |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1386739688 PECOS PAC ID: 7113242397 Enrollment ID: I20150210001838 |
| Provider Name | Jose M Marchena |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1710962931 PECOS PAC ID: 7315946159 Enrollment ID: I20150814014240 |
| Provider Name | Simon W Young |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1396028338 PECOS PAC ID: 4688989536 Enrollment ID: I20150820012015 |
| Provider Name | Maimalynne Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568850659 PECOS PAC ID: 9436464294 Enrollment ID: I20150824000519 |
| Provider Name | Rebekah Fontenot |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457796617 PECOS PAC ID: 7719265453 Enrollment ID: I20170104001988 |
| Provider Name | Craig B Pearl |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1447744917 PECOS PAC ID: 0345590782 Enrollment ID: I20180906001066 |
| Provider Name | Tammie R Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841707676 PECOS PAC ID: 3870843758 Enrollment ID: I20180914000455 |
| Provider Name | Attiya B Noor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215415625 PECOS PAC ID: 7416296611 Enrollment ID: I20190306001082 |
| Provider Name | Hong T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609341510 PECOS PAC ID: 6204179864 Enrollment ID: I20190522001795 |
| Provider Name | Kati E Waters |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437693330 PECOS PAC ID: 6406191964 Enrollment ID: I20200826003103 |
| Provider Name | Jamila Ajelka Butcher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639583388 PECOS PAC ID: 4385914431 Enrollment ID: I20210210000082 |
| Provider Name | Christopher Sean Daniel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1285899211 PECOS PAC ID: 1254579717 Enrollment ID: I20210413001851 |
| Provider Name | Nisha T John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952790883 PECOS PAC ID: 7113323684 Enrollment ID: I20210908003184 |
| Provider Name | Josie A Arevalo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629668595 PECOS PAC ID: 7113316431 Enrollment ID: I20211108001231 |
| Provider Name | Nicole Brathwaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437741519 PECOS PAC ID: 3072905637 Enrollment ID: I20220112001046 |
| Provider Name | Sloane A Kaminski-ditzel |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1558848226 PECOS PAC ID: 1456730027 Enrollment ID: I20220628002578 |
| Provider Name | Rhonda L Bean |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1649262197 PECOS PAC ID: 3678876166 Enrollment ID: I20220629000115 |
| Provider Name | Sarah Schuhmacher |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124539549 PECOS PAC ID: 5294115804 Enrollment ID: I20220629000687 |
| Provider Name | Margarita R Lanternier |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326421546 PECOS PAC ID: 6103110762 Enrollment ID: I20220629002898 |
| Provider Name | Ching-lan Shih |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1780930578 PECOS PAC ID: 4385948025 Enrollment ID: I20220706002202 |
| Provider Name | Markquada Meju |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508211244 PECOS PAC ID: 2567842321 Enrollment ID: I20220711001748 |
| Provider Name | Geethanjali Vipulanandan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1720565492 PECOS PAC ID: 0941681407 Enrollment ID: I20220715000927 |
| Provider Name | Danielle N Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538809918 PECOS PAC ID: 0648652685 Enrollment ID: I20220808000619 |
| Provider Name | To-nhi Tran |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962758847 PECOS PAC ID: 6103209481 Enrollment ID: I20220818003374 |
| Provider Name | Taylor A Ozougwu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316508294 PECOS PAC ID: 8224365036 Enrollment ID: I20221014001257 |
| Provider Name | Lauren Nga-ling Hum |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1619326766 PECOS PAC ID: 4789934472 Enrollment ID: I20221207002828 |
| Provider Name | Aida Michelle Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942966114 PECOS PAC ID: 0840669735 Enrollment ID: I20221215002876 |
| Provider Name | Justine May B Jimenez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497100960 PECOS PAC ID: 4981074929 Enrollment ID: I20230107000180 |
| Provider Name | Morgan Murrey-ittmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356932123 PECOS PAC ID: 7214309061 Enrollment ID: I20230204000542 |
| Provider Name | Tiffany Zhou |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1376260851 PECOS PAC ID: 5193197218 Enrollment ID: I20230217001199 |
| Provider Name | Emily E Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881190098 PECOS PAC ID: 9335512490 Enrollment ID: I20230310001716 |
| Provider Name | Diana Pham |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508279191 PECOS PAC ID: 8729447339 Enrollment ID: I20230629002339 |
| Provider Name | Jennifer Mailinh Blanton |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477841377 PECOS PAC ID: 4981063989 Enrollment ID: I20230710001151 |
| Provider Name | Michael Zalman Metzger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972697787 PECOS PAC ID: 6507212636 Enrollment ID: I20231026001044 |
| Provider Name | Cuong Chu |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982757019 PECOS PAC ID: 2365899168 Enrollment ID: I20231116001610 |
| Provider Name | Ted Sheng |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1639480700 PECOS PAC ID: 6608228903 Enrollment ID: I20240123002059 |
| Provider Name | Phillip A Kattchee |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1104873009 PECOS PAC ID: 6709188477 Enrollment ID: I20240124000634 |
| Provider Name | Heather L Athon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144934365 PECOS PAC ID: 8325483316 Enrollment ID: I20240229002091 |
| Provider Name | Gulliermo Montes |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215166061 PECOS PAC ID: 6507207792 Enrollment ID: I20240520000974 |
| Provider Name | Kambiz Amini |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1366634339 PECOS PAC ID: 2163965484 Enrollment ID: I20240614002490 |
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