Active NPI
Sandra Estefania Davila Puga
- Community Health Worker
- Texas City, TX
National Provider Identifier
1447087622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 16274
- Practice address
- 9850 Emmett F Lowry Expy
Texas City, TX 77591-2000 - Phone
- (409) 978-4108
- Fax
- (409) 978-4217
- NPI assigned
- Sep 19, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 16274 | TX | Primary |
Addresses
Primary practice location
9850 Emmett F Lowry Expy
Texas City, TX 77591-2000
Mailing address
2406 McNay Dr
Pasadena, TX 77506-3915
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 |
|---|---|---|---|
| 16274 | TX | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1447087622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 MCNAY DR",
"city": "PASADENA",
"state": "TX",
"postal_code": "775063915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9850 EMMETT F LOWRY EXPY",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775912000",
"telephone_number": "409-978-4108",
"fax_number": "409-978-4217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA PUGA",
"first_name": "SANDRA",
"middle_name": "ESTEFANIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TX",
"license": "16274",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texas City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.