Ideal Care Health Management LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

IDEAL CARE HEALTH MANAGEMENT LLC

Practice address

1315 W Grand Pkwy S Ste 104
Katy, TX 77494-8290

Phone

(713) 287-0924

NPI assigned

Jan 24, 2023

Organization subpart

No

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

Authorized official

Name

Liset Avalos Enriquez, MDNPI 1356648588

Title

Medical Director

Phone

(713) 287-0924

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liset Avalos Enriquez, M.D

  • Family Medicine Physician
  • Katy, TX
  • NPI 1356648588
  NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1386350338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 W GRAND PKWY S STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 W GRAND PKWY S STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948290",
            "telephone_number": "713-287-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL CARE HEALTH MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "AVALOS ENRIQUEZ",
        "authorized_official_first_name": "LISET",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "713-287-0924",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "kareo",
            "affiliation": "N",
            "address_1": "1315 W Grand Pkwy S Ste 104",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774948290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kashifa Ibrahim
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• Icon Pharmacy
• Iconic Chiropractic
• Ideal Care Family Doctor PLLC
• Ideal Dental of Katy PLLC
• Ideal Physical Therapy of Texas LLC
• Ideal Physical Therapy of Texas LLC
• Ideal Sleep & Diagnostics LLC
• Ideal View Eyecare PLLC

• Family Medicine Physician in Katy, TX
• Providers in Katy, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.