Organization Active NPI

Asp Centers for Diabetic Management, LLC

  • Health Service Clinic/Center
  • Huntsville, TX
National Provider Identifier
1417108960
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1068 Issued in TX
Legal business name
ASP CENTERS FOR DIABETIC MANAGEMENT, LLC
Practice address
116 Medical Park LN
Suite B
Huntsville, TX 77340-4978
Phone
(713) 554-7500
Fax
(713) 554-7510
NPI assigned
Oct 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Authorized official

Name
Dimitrios Mantzoros, DPMNPI 1285660803
Title
DPM, Partner
Phone
(281) 298-6665

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
Health Service Clinic/Center 261QH0100X 1068 TX Primary

Addresses

Primary practice location

116 Medical Park LN
Suite B
Huntsville, TX 77340-4978

Mailing address

3040 Post Oak Blvd
Suite 1230
Houston, TX 77056-6500
Phone (713) 554-7500

National Provider Directory

National Provider Directory

Locations

130 Medical Park Ln
Ste 116B
Huntsville, TX 77340
Phone (936) 293-8588

116 Medical Park Ln
Ste B
Huntsville, TX 77340
Phone (936) 215-6418

Practitioners & affiliated clinicians

Practitioners 2

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": "1222905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1417108960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 POST OAK BLVD",
            "address_2": "SUITE 1230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770566500",
            "telephone_number": "713-554-7500",
            "fax_number": "713-554-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 MEDICAL PARK LN",
            "address_2": "SUITE B",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404978",
            "telephone_number": "713-554-7500",
            "fax_number": "713-554-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASP CENTERS FOR DIABETIC MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-02",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "MANTZOROS",
        "authorized_official_first_name": "DIMITRIOS",
        "authorized_official_title_or_position": "DPM, PARTNER",
        "authorized_official_telephone_number": "281-298-6665",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "1068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.