Active NPI
Agha Fongoh Mayah, LNN
- Licensed Vocational Nurse
- Houston, TX
National Provider Identifier
1407334196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 342277
- Practice address
- 2818 Stoney Wood Dr
Houston, TX 77082-2040 - Phone
- (346) 400-8202
- NPI assigned
- Aug 3, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 342277 | TX | Primary |
Addresses
Primary practice location
2818 Stoney Wood Dr
Houston, TX 77082-2040
Mailing address
2818 Stoney Wood Dr
Houston, TX 77082-2040
Phone (346) 400-8202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 342277 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1407334196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2818 STONEY WOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822040",
"telephone_number": "346-400-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2818 STONEY WOOD DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822040",
"telephone_number": "346-400-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYAH",
"first_name": "AGHA",
"middle_name": "FONGOH",
"credential": "LNN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-03",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "342277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.