Organization Active NPI

Ta Medical Associates PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Humble, TX
National Provider Identifier
1245928159
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
TA MEDICAL ASSOCIATES PLLC
Practice address
1485 FM 1960 Bypass Rd East
Suite 260
Humble, TX 77338
Phone
(281) 640-2199
Fax
(619) 444-1740
NPI assigned
Apr 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Authorized official

Name
Dr. Teodulo Aves, MDNPI 1881689818
Title
Owner
Phone
(713) 578-0699

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 (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

1485 FM 1960 Bypass Rd East
Suite 260
Humble, TX 77338

Mailing address

PO Box 3856
Houston, TX 77253-3856
Phone (281) 640-2199

Other practice location 1

11711 Shadow Creek Parkway
Suite 146C
Pearland, TX 77584-7232
Phone (281) 640-2199

Other practice location 2

3838 N. Sam Houston Pkwy E
Suite 200
Houston, TX 77032-3417
Phone (281) 640-2199

Other names 2

  • T.A Medical Associates, PLLC Other name
  • TA MEDICAL ASSOCIATES PLLC TEODULO AVES SOLE MBR Other name

National Provider Directory

National Provider Directory

Locations

3838 N Sam Houston Pkwy E
Ste 200
Houston, TX 77032
Phone (281) 640-2199

Practitioners & affiliated clinicians

Practitioners 1

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": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1245928159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3856",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772533856",
            "telephone_number": "281-640-2199",
            "fax_number": "619-444-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 FM 1960 BYPASS RD EAST",
            "address_2": "SUITE 260",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "281-640-2199",
            "fax_number": "619-444-1740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11711 Shadow Creek Parkway",
            "address_2": "Suite 146C",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775847232",
            "country_code": "US",
            "telephone_number": "281-640-2199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3838 N. Sam Houston Pkwy E",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770323417",
            "country_code": "US",
            "telephone_number": "281-640-2199",
            "fax_number": "619-444-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TA MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "AVES",
        "authorized_official_first_name": "TEODULO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-578-0699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T.A Medical Associates, PLLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "TA MEDICAL ASSOCIATES PLLC TEODULO AVES SOLE MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.