Active NPI
Endo Telehealth PLLC
- Endocrinology, Diabetes & Metabolism Physician
- Houston, TX
National Provider Identifier
1093235350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- M0956
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Damaris Vega, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20652614 | Other | TX | DRIVER LICENSE |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Houston, TX
- NPI 1447351176
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.