Eshcol Clinic
Nurse Practitioner (Family)

Address: 9935 Bissonnet St Unit B, Houston, TX 77036-8413
Phone: 7133916863

Eshcol Clinic (NPI# 1962001362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1962001362
Entity Type Organization
Organization Name ESHCOL CLINIC
Practice Address 9935 Bissonnet St Unit B
Houston
TX 77036-8413
Practice Telephone 7133916863
Practice Fax Number 7134222509
Mailing Address 9935 Bissonnet St Unit B
Houston
TX 77036-8413
Mailing Telephone 7133916863
Mailing Fax Number 7134222509
Authorized Official Name Lazarus Noor (OFFICE MANAGER)
Authorized Official Telephone 2817134911
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-10-19
Last Update Date 2020-10-19

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Identifier Issuer Type Code
TX 145638603 MEDICAID

Other Provider/Organization Names

Other Name Type Code
Eshcol Clinic Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come…

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Office Location

Street Address 9935 BISSONNET ST UNIT B
City HOUSTON
State TX
Zip Code 77036-8413

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1184102477 Kristin Erin Moreau Speech-Language Pathologist 6000 Reims Rd #4106, Houston, TX 77036 2018-07-30
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1376046136 Nirvana Behavioral Solutions,llc Case Management 7111 Harwin Dr Ste 130, Houston, TX 77036 2018-03-17
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Competitor

Search similar providers

City HOUSTON
Zip Code 77036

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Dataset Information

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.