Texas Managerial Medical Services, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TEXAS MANAGERIAL MEDICAL SERVICES, LLC

Practice address

20320 Northwest Fwy
Suite 900
Jersey Village, TX 77065-5641

Phone

(281) 586-3888

Fax

(281) 440-2020

NPI assigned

Aug 13, 2013

Organization subpart

No

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

Authorized official

Name

Ana Borja

Title

Credentialing Department

Phone

(281) 453-7224

Specialties & licenses 2

Addresses

Other names 1

• TMMS Other name

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1144653171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY",
            "address_2": "SUITE 900",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655641",
            "telephone_number": "281-586-3888",
            "fax_number": "281-440-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY",
            "address_2": "SUITE 900",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655641",
            "telephone_number": "281-586-3888",
            "fax_number": "281-440-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MANAGERIAL MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "BORJA",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "CREDENTIALING DEPARTMENT",
        "authorized_official_telephone_number": "281-453-7224"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TMMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Precious Tabansi, MD
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• Jonathan Tibaldo, FNP-C
• Pearl Lynn Tolliver, LPC
• Tomball Diagnostic Solutions, Inc.

• Family Medicine Physician in Jersey Village, TX
• Providers in Jersey Village, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.