Mip SVC LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MIP SVC LLC

Practice address

2200 North Loop W Ste 106
Houston, TX 77018-1754

Phone

(832) 219-8536

NPI assigned

Nov 27, 2023

Organization subpart

No

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

Authorized official

Name

Dina Kushaliyeva

Title

Co-Founder

Phone

(214) 802-0224

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Le Quynh Vo, MD

  • Internal Medicine Physician
  • Cypress, TX
  • NPI 1538363130
  Medicare reassignment

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1063288512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NORTH LOOP W STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770181754",
            "telephone_number": "832-219-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NORTH LOOP W STE 106",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770181754",
            "telephone_number": "832-219-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIP SVC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "KUSHALIYEVA",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "214-802-0224"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Elyse Mintz, NP
• Minu RX LTD
• Minute by Minute Health Services, Inc
• Minuteclinic Physician Practice of Texas
• Caitlyn Nicole Minutella, MD
• Mip SVC LLC
• Mipcn, Inc.
• Kazim Raza Mir, PHARMD
• Mahnoor Mir
• Maliha Mir, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Houston, TX
• Providers in Houston, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.