Active NPI
Edwin Jonattan Vences
- Physician Assistant
- Humble, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA14361
- Practice address
- 18955 N Memorial Dr Ste 360
Humble, TX 77338-4396 - Phone
- (281) 319-8530
- NPI assigned
- Jul 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA14361 | TX | Primary |
Addresses
Primary practice location
18955 N Memorial Dr Ste 360
Humble, TX 77338-4396
Mailing address
909 Frostwood Dr Ste 1.100
Houston, TX 77024-2301
Phone (713) 338-5519
Other practice location 1
7126 Liberty Creek Trl
Houston, TX 77049-3889
Phone (832) 681-0624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17510 W Grand Pkwy S
Suite 330
Sugar Land, TX 77479-2648
Phone (281) 238-3770
9180 Pinecroft Dr
Suite 500
Shenandoah, TX 77380-3883
Phone (713) 897-5900
Hospital & facility affiliations
- Memorial Hermann Hospital System
- Tirr Memorial Hermann
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA14361 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carbon Health Medical Group of Florida PA | Single Specialty | Current | Accepting new patients |
| MHS Physicians of Texas | Single Specialty | Current | Accepting new patients |
| Carbon Health Medical Group of Florida PA | Single Specialty | Current | Accepting new patients |
Locations
921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439
909 Frostwood Dr
Ste 1100
Houston, TX 77024
Phone (713) 338-4523
18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530
17903 W Lake Houston Pkwy
Ste 101
Humble, TX 77346
Phone (215) 570-6856
10905 Memorial Hermann Dr
Ste 111
Pearland, TX 77584
Phone (281) 929-4727
9200 Pinecroft Dr
Ste 130
Shenandoah, TX 77380
Phone (713) 897-5900
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
9250 Pinecroft Dr
#C
Shenandoah, TX 77380
17510 W Grand Pkwy S
Ste 330
Sugar Land, TX 77479
Phone (281) 238-3770
Interoperability endpoints
- evences20675@memorialhermann.direct-ci.com
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Shenandoah, TX
- NPI 1184714867
Single Specialty
-
- Urgent Care Clinic/Center
- Austin, TX
- NPI 1477155331
Single Specialty
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1295363497
-
- Urgent Care Clinic/Center
- Oro Valley, AZ
- NPI 1396317079
Single Specialty
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Houston, TX
- NPI 1710985098
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1376196345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 FROSTWOOD DR STE 1.100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242301",
"telephone_number": "713-338-5519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18955 N MEMORIAL DR STE 360",
"city": "HUMBLE",
"state": "TX",
"postal_code": "773384396",
"telephone_number": "281-319-8530"
}
],
"practiceLocations": [
{
"address_1": "7126 Liberty Creek Trl",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770493889",
"country_code": "US",
"telephone_number": "832-681-0624",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VENCES",
"first_name": "EDWIN",
"middle_name": "JONATTAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-19",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA14361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 25, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.