Profound Medical Managemnt Group

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

J3124 Issued in TX

Legal business name

PROFOUND MEDICAL MANAGEMNT GROUP

Practice address

7007 North Fwy Ste 200B
Houston, TX 77076-1324

Phone

(832) 709-0155

NPI assigned

May 16, 2017

Organization subpart

No

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

Authorized official

Name

Emma Cull

Title

Coo

Phone

(678) 469-5011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053848549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 NORTH FWY STE 200B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761324",
            "telephone_number": "832-709-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 NORTH FWY STE 200B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761324",
            "telephone_number": "832-709-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFOUND MEDICAL MANAGEMNT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-469-5011"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J3124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Wellness Centers, LLC
• Proficient Surgical Services LLC
• Profit Anesthesia Consultants LLC
• David Profit Jr., CRNA
• Ava Profota, LCSW
• Progenity Inc.
• Program for Side Effects Management
• Progressing on Purpose Counseling, PLLC
• Progressive Ambulance Service LLC
• Progressive Counseling & Consulting, LLC

• Physical Medicine & Rehabilitation Physician in Houston, TX
• Providers in Houston, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.