Aeon Foundation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AEON FOUNDATION

Doing business as

Aeon Medical and Dental Community Clinic

Practice address

1010 Waverly St
Houston, TX 77008-6760

Phone

(832) 804-8268

Fax

(832) 804-8259

NPI assigned

Mar 7, 2016

Last updated

Mar 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Phyllis Roshan

Title

President & Ceo

Phone

(770) 876-3954

Specialties & licenses 1

Addresses

Other names 1

• Aeon Medical and Dental Community Clinic Doing business as

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1205296001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WAVERLY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WAVERLY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770086760",
            "telephone_number": "832-804-8268",
            "fax_number": "832-804-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEON FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "ROSHAN",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "770-876-3954",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aeon Medical and Dental Community Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aegis Medical LLC
• Aegis Surgical Assistants LLC
• Aegon Exams, LLC
• Aelius Counseling and Wellness PLLC
• Aem Prime Ventures Inc (Vernad Medical Supply)
• Aeon Home Health Care LLC
• Aero EMS Inc
• Aerocare Home Medical, Inc.
• Aerocare Home Medical, Inc.
• Aerocare Home Medical, Inc.

• Community/Behavioral Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.