Active NPI
Donna Ilene Teague, PA-C
- Physician Assistant
- Houston, TX
National Provider Identifier
1629027461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02712
- Practice address
- 1500 Citywest Blvd Ste 300
Houston, TX 77042 - Phone
- (713) 620-4000
- Fax
- (713) 458-4229
- NPI assigned
- May 9, 2006
- Last updated
- Jun 6, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA02712 | TX | |
| Physician Assistant | 363A00000X | PA02712 | TX | Primary |
Addresses
Primary practice location
1500 Citywest Blvd Ste 300
Houston, TX 77042
Mailing address
PO Box 840853
Dallas, TX 75284-0853
Phone (512) 416-7246
Other practice location 1
2501 W William Cannon Dr Ste 401
Austin, TX 78745-5278
Phone (512) 416-7246
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)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Consultants, PA | Past | Accepting new patients | |
| Fred E Griffiths | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba House Call Doctors Texas
- Geriatric Medicine (Family Medicine) Physician
- Austin, TX
- NPI 1609821719
-
- Interventional Pain Medicine Physician
- Austin, TX
- NPI 1053526343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1629027461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840853",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840853",
"telephone_number": "512-416-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CITYWEST BLVD STE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77042",
"telephone_number": "713-620-4000",
"fax_number": "713-458-4229"
}
],
"practiceLocations": [
{
"address_1": "2501 W William Cannon Dr Ste 401",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787455278",
"country_code": "US",
"telephone_number": "512-416-7246",
"fax_number": "512-275-2833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEAGUE",
"first_name": "DONNA",
"middle_name": "ILENE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA02712",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.