Iora Health Texas, PLLC
Organization Active NPI Internal Medicine Physician · Houston, TX
NPI 1114586708 · NPPES record last updated Sep 5, 2023
Key facts
- NPI
- 1114586708
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- IORA HEALTH TEXAS, PLLC
- Practice address
- 6613 S Braeswood Blvd
Houston, TX 77096-3611 - Phone
- (713) 491-4787
- Fax
- (844) 438-9953
- NPI assigned
- Jun 7, 2019
- Organization subpart
- No
Authorized official
- Name
- Natasha Bhuyan, MD
- Title
- National Medical Director
- Phone
- (415) 814-0927
Other NPIs on the same Medicare enrollment 6
Practitioners 46
-
Syed Abbas, M.D.
-
Jairo L Bermudez, MD
-
Jorie Geiger, FNP
-
Jenniffer Ramirez, NP-C
-
Saori Schmal, MSN, NP-C
-
Jasjit Singh, MD
-
Grace Mary Ann Varas, D.O.
-
Leah Christine Coburn, LICSW
-
Jennifer L Madsen, LICSW
-
Ambreen Mohamed, M.D.
-
Sarah Elizabeth Stookey, PH.D.
-
Jessica Mitchell, NP
-
Melissa K Brands, APRN-NP
-
Stacey Pratt, MPA
-
Tonya Renee Wallace, FNP
-
Lindsay Botsford, M.D.
-
Maria Isabel Stewart, AGACNP-BC
-
Sheila Antony, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190920002111 | TX | Part B Supplier - Clinic/Group Practice | 2668702465 |
Receives reassigned benefits from 43 practitioners 6 other NPIs on this enrollment Practice locations: Houston, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
6613 S Braeswood Blvd
Houston, TX 77096-3611
Mailing address
1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628
Other names
- One Medical
NPI Registry JSON
{
"created_epoch": "1559865600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693872000000",
"number": "1114586708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 EMBARCADERO CTR FL 19",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941113628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6613 S BRAESWOOD BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770963611",
"telephone_number": "713-491-4787",
"fax_number": "844-438-9953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IORA HEALTH TEXAS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-07",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A",
"authorized_official_last_name": "BHUYAN",
"authorized_official_first_name": "NATASHA",
"authorized_official_title_or_position": "NATIONAL MEDICAL DIRECTOR",
"authorized_official_telephone_number": "415-814-0927",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "One Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
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- Michelle Lauren Ionescu
- Iora Health Texas, PLLC
- Iora Health Texas, PLLC
- Iora Health Texas, PLLC
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All providers in Houston, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.