NPIMap

Organization Active NPI

Chrisud LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Jersey Village, TX
National Provider Identifier
1184357287
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
CHRISUD LLC
Doing business as
North Houston Healthcare
Practice address
20320 Northwest Fwy Ste 400
Jersey Village, TX 77065-5643
Phone
(346) 260-5112
Fax
(832) 376-7541
NPI assigned
Jul 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Christina O Itata, MDNPI 1871932061
Title
Owner
Phone
(346) 260-5112

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
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

20320 Northwest Fwy Ste 400
Jersey Village, TX 77065-5643

Mailing address

20320 Northwest Fwy Ste 400
Jersey Village, TX 77065-5643

Other practice location 1

1006 Windsor Lakes Blvd Ste 150
Conroe, TX 77384-4975
Phone (346) 260-5112

Other names 1

  • North Houston Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220920001363 TX Part B Supplier - Clinic/Group Practice 4688059173 Receives reassigned benefits from 4 practitioners
Practice locations: Conroe, TX; Jersey Village, TX

National Provider Directory

National Provider Directory

Locations

20320 Northwest Fwy
Jersey Village, TX 77065
Phone (281) 653-9576

15 Professional Park Dr
Webster, TX 77598
Phone (281) 332-1559

Practitioners & affiliated clinicians

Practitioners 4

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": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1184357287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 400",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 400",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655643",
            "telephone_number": "346-260-5112",
            "fax_number": "832-376-7541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Windsor Lakes Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773844975",
            "country_code": "US",
            "telephone_number": "346-260-5112",
            "fax_number": "832-376-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISUD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "ITATA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-260-5112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Houston Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jersey Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.