Organization Active NPI

Amado Holistics PLLC

Doing business as Holistic care family medicine

  • Family Medicine Physician
  • Katy, TX
National Provider Identifier
1528642170
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
AMADO HOLISTICS PLLC
Doing business as
Holistic care family medicine
Practice address
26077 Nelson Way
Suite 301
Katy, TX 77494-5642
Phone
(832) 882-5632
Fax
(832) 553-2686
NPI assigned
May 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Dr. Sandra Milena Amado Medina, MDNPI 1114362985
Title
Owner
Phone
(832) 228-2005

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

26077 Nelson Way
Suite 301
Katy, TX 77494-5642

Mailing address

27910 Starlight Harbor LN
Fulshear, TX 77441-1702
Phone (832) 228-2005

Other names 1

  • Holistic care family medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210706001142 TX Part B Supplier - Clinic/Group Practice 9436551066 Receives reassigned benefits from 2 practitioners
Practice locations: Brookshire, TX

National Provider Directory

National Provider Directory

Locations

409 Branchwood Ln
Brookshire, TX 77423

1359 FM 1463 Rd Ste 600
Katy, TX 77494

1259 FM 1463 Rd
Ste 600
Katy, TX 77494
Phone (832) 882-5632

26077 Nelson Way
Ste 301
Katy, TX 77494
Phone (832) 882-5632

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": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1528642170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27910 STARLIGHT HARBOR LN",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411702",
            "telephone_number": "832-228-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26077 NELSON WAY",
            "address_2": "SUITE 301",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945642",
            "telephone_number": "832-882-5632",
            "fax_number": "832-553-2686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMADO HOLISTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-12",
        "status": "A",
        "authorized_official_last_name": "AMADO MEDINA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "MILENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-228-2005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic care family medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.