Maryba LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MARYBA LLC

Doing business as

Texas Care Northside Houston

Practice address

15603 Kuykendahl Rd Ste 300
Houston, TX 77090-3656

Phone

(281) 733-7525

NPI assigned

Oct 4, 2024

Organization subpart

No

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

Authorized official

Name

Elsa Georgina Castillo

Title

Owner

Phone

(832) 665-4807

Specialties & licenses 3

Addresses

Other names 1

• Texas Care Northside Houston Doing business as

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1063231280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 BAILEY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770061507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15603 KUYKENDAHL RD STE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903656",
            "telephone_number": "281-733-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYBA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "ELSA",
        "authorized_official_middle_name": "GEORGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-665-4807"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Care Northside Houston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas Care Northside Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counselor in Houston, TX
• Providers in Houston, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.