MCM Healthcare Group LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MCM HEALTHCARE GROUP LLC

Practice address

1389 W Gulf Bank Rd
Houston, TX 77088-3652

Phone

(281) 356-0907

NPI assigned

Sep 18, 2024

Organization subpart

No

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

Authorized official

Name

Anisleidy Costa Manzano

Title

FNP

Phone

(281) 356-0907

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1659108173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 W GULF BANK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770883652",
            "telephone_number": "281-356-0907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 W GULF BANK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770883652",
            "telephone_number": "281-356-0907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCM HEALTHCARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "COSTA MANZANO",
        "authorized_official_first_name": "ANISLEIDY",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "281-356-0907"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Reams McLeod, LCSW
• Sean Clifford McLeod
• Valerie McLin, MD
• Nicole McLittle, PHARM D.
• Kristen McLoughlin
• MCM Renew PLLC
• Jason W McMahan, MSN, FNP-BC
• Jessica Marcella McMahan, PHARMD
• Kaitlin Michelle McMahan
• Sara McMahan, PT, PCS

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.