Organization Active NPI

Endo Telehealth PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Houston, TX
National Provider Identifier
1093235350
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
M0956 Issued in TX
Legal business name
ENDO TELEHEALTH PLLC
Practice address
12518 Cutten Rd Ste B
Houston, TX 77066-1804
Phone
(832) 900-9434
Fax
(832) 900-9452
NPI assigned
Jun 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Damaris Vega, MDNPI 1447351176
Title
Ceo
Phone
(832) 900-9434

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RE0101X M0956 TX Primary

Addresses

Primary practice location

12518 Cutten Rd Ste B
Houston, TX 77066-1804

Mailing address

12518 Cutten Rd Ste B
Houston, TX 77066-1804
Phone (832) 900-9434

Other identifiers 1

IdentifierTypeStateIssuer
20652614OtherTXDRIVER LICENSE

National Provider Directory

National Provider Directory

Locations

12518 Cutten Rd
Ste B
Houston, TX 77066
Phone (832) 900-9434

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093235350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12518 CUTTEN RD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770661804",
            "telephone_number": "832-900-9434",
            "fax_number": "832-900-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12518 CUTTEN RD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770661804",
            "telephone_number": "832-900-9434",
            "fax_number": "832-900-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDO TELEHEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "VEGA",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-900-9434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "M0956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "20652614",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • 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.