Management Affiliates of Northeast Houston

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MANAGEMENT AFFILIATES OF NORTHEAST HOUSTON

Practice address

22751 Professional Drive
Suite 2100
Kingwood, TX 77339

Phone

(281) 359-3223

NPI assigned

May 26, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Randy Butler

Title

Administrator

Phone

(281) 359-3223

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1013236306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22751 PROFESSIONAL DRIVE",
            "address_2": "SUITE 2100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22751 PROFESSIONAL DRIVE",
            "address_2": "SUITE 2100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-359-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGEMENT AFFILIATES OF NORTHEAST HOUSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-26",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-359-3223"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andy Maldonado, MSN, APRN, FNP-C
• Lauren Bautsch Malitz, D.D.S.
• Sehar Mallick
• Edwin Robert Malone Jr., M.D.
• Kara Lynnette Malone, MD
• Monserrath Mancilla Robles
• Skantha Krupa Manjunath, M.D.
• Chandler R Mann, M.D.
• Louise T Mann, M.D.
• Shelby Grace Mann, MS

• Multi-Specialty Clinic/Center in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Multi-Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.