Organization Active NPI

Core MD Managment LLC

  • General Practice Registered Nurse
  • Sugar Land, TX
National Provider Identifier
1467943142
Registry record updated May 29, 2018
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Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
Legal business name
CORE MD MANAGMENT LLC
Practice address
19875 Southwest Fwy Ste 100
Sugar Land, TX 77479-3502
Phone
(281) 849-6988
NPI assigned
May 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Authorized official

Name
Miss Mary Rose Agustin, NP
Title
Owner
Phone
(281) 849-6988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WG0000X Primary

Addresses

Primary practice location

19875 Southwest Fwy Ste 100
Sugar Land, TX 77479-3502

Mailing address

19875 Southwest Fwy Ste 110
Sugar Land, TX 77479-3502

Other practice location 1

2416 W Holcombe Blvd Ste A
Houston, TX 77030-1902
Phone (281) 849-6988

Other names 1

  • Core Health Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1467943142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19875 SOUTHWEST FWY STE 110",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19875 SOUTHWEST FWY STE 100",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793502",
            "telephone_number": "281-849-6988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2416 W Holcombe Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770301902",
            "country_code": "US",
            "telephone_number": "281-849-6988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CORE MD MANAGMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "AGUSTIN",
        "authorized_official_first_name": "MARY ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-849-6988",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Core Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.