Active NPI
Latresha J McBride, MD
- Pediatrics Physician
- Cleveland, TX
National Provider Identifier
1255522447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N5851
- Practice address
- 300 E Houston, Ste a
Cleveland, TX 77327 - Phone
- (281) 592-9775
- Fax
- (281) 432-0548
- NPI assigned
- Aug 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP1-0029095 | TX | |
| Pediatrics Physician | 208000000X | N5851 | TX | Primary |
Addresses
Primary practice location
300 E Houston, Ste a
Cleveland, TX 77327
Mailing address
108 S William Barnett Ave
Cleveland, TX 77327
Phone (281) 659-2355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4643414935 | Other | MYUTMB 4643414935 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0029095 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calvary Medical, PA | Current | Accepting new patients | |
| TCH Pediatric Associates, Inc | Pediatrics | Past | Accepting new patients |
Locations
300 E Houston St
#B
Cleveland, TX 77327
Phone (281) 592-9777
108 S William Barnett Ave
Cleveland, TX 77327
Phone (281) 592-9775
300 E Houston St
#A
Cleveland, TX 77327
Phone (281) 592-2884
8484 Will Clayton Pkwy
Humble, TX 77338
Phone (832) 680-2273
Interoperability endpoints
- latresha.mcbride@cmcliv.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Legal Medicine
- Cleveland, TX
- NPI 1265568042
-
- Pediatrics Physician
- Sugar Land, TX
- NPI 1861492654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417392000000",
"number": "1255522447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 S WILLIAM BARNETT AVE",
"city": "CLEVELAND",
"state": "TX",
"postal_code": "77327",
"telephone_number": "281-659-2355",
"fax_number": "281-592-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 E HOUSTON, STE A",
"city": "CLEVELAND",
"state": "TX",
"postal_code": "77327",
"telephone_number": "281-592-9775",
"fax_number": "281-432-0548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "LATRESHA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2014-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP1-0029095",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N5851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MYUTMB 4643414935",
"identifier": "4643414935",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.