Center for Connective Tissue Disorders, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CENTER FOR CONNECTIVE TISSUE DISORDERS, LLC

Practice address

4747 Bellaire Blvd Ste 101
Bellaire, TX 77401-4515

Phone

(346) 704-0055

NPI assigned

Jun 1, 2024

Last updated

Jun 1, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Noa Yizhari

Title

Ceo

Phone

(346) 704-0055

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1717200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717200000000",
    "number": "1508607979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 BELLAIRE BLVD # 278",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD STE 101",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014515",
            "telephone_number": "346-704-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CONNECTIVE TISSUE DISORDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-01",
        "last_updated": "2024-06-01",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "YIZHARI",
        "authorized_official_first_name": "NOA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "346-704-0055"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manet Castaneda, LPC
• Ernesto Castro, NP
• Martha Liliana Castro, M.D.
• Kerrington Cavanaugh
• Celestial Specialty Care, PA
• Centura Ventures Larkin Ventures (Centura Health Emergency and Urgent Care HWY 285 Lakewood)
• David Anthony Cervantes, DDS MS
• Danny Michael Chachere II, M.D.
• Chad R. Seabold, DDS, MD, PA Oral & Maxillofacial Surgery
• Jyoti Chadha, OT/MBA/MHA

• Clinic/Center in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.