Northside Doctors, P.a.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

L7582 Issued in TX

Legal business name

NORTHSIDE DOCTORS, P.A.

Practice address

920 Medical Plaza Drive
Suite 360
Shenandoah, TX 77380-3271

Phone

(281) 719-0483

Fax

(281) 719-0756

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Duyen My Tran, M.D.

Title

President

Phone

(281) 719-0483

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Rodrigo De la Cotera Jule, M.D.

  • Internal Medicine Physician
  • Shenandoah, TX
  • NPI 1235126319

  Single Specialty

  NPD
• Alexandrya Tran, APRN, NP-C

  • Acute Care Nurse Practitioner
  • Shenandoah, TX
  • NPI 1205568839
  NPD

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1487729323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DRIVE",
            "address_2": "SUITE 360",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803271",
            "telephone_number": "281-719-0483",
            "fax_number": "281-719-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DRIVE",
            "address_2": "SUITE 360",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803271",
            "telephone_number": "281-719-0483",
            "fax_number": "281-719-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSIDE DOCTORS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "DUYEN",
        "authorized_official_middle_name": "MY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-719-0483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L7582",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "L7582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Houston Gastroenterology Institute
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• North Houston Hospitalists PA
• North Houston Internal Medicine, PA
• North Houston One Medical Group, PLLC
• Northwoods Urology Association
• Northwoods Urology of Texas PLLC
• Nouvelle Psychiatry PLLC
• Nurturing Nature Child and Family Therapy, PLLC
• Ryan A O'Banion, PA-C

• Geriatric Medicine (Internal Medicine) Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.