Emprise Network LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L9314 Issued in TX

Legal business name

EMPRISE NETWORK LLC

Doing business as

Mont Belvieu Family Practice

Practice address

9235 N Highway 146
Suite 3
Mont Belvieu, TX 77523-7876

Phone

(281) 385-8111

Fax

(832) 307-7102

NPI assigned

Mar 25, 2016

Organization subpart

No

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

Authorized official

Name

Rosanna H Kallay, PHD(C)

Title

Director

Phone

(281) 705-5882

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mont Belvieu Family Practice Doing business as

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458864000000",
    "number": "1669834842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9235 N HIGHWAY 146",
            "address_2": "SUITE 3",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775237876",
            "telephone_number": "281-385-8111",
            "fax_number": "832-307-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9235 N HIGHWAY 146",
            "address_2": "SUITE 3",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775237876",
            "telephone_number": "281-385-8111",
            "fax_number": "832-307-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPRISE NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A",
        "authorized_official_last_name": "KALLAY",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "281-705-5882",
        "authorized_official_credential": "PHD(C)"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L9314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204225101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mont Belvieu Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerred Shane Donohoo, P.T.A
• Eagle Family Vision, Inc
• Emma Ann Edwards, DC
• Elite Dental of Mont Belvieu PLLC
• Emprise Network LLC (Mont Belvieu Urgent Care)
• Jorge Flores
• Symone Hope Fontenot, DC
• Emily Freiberg, M.S., CCC-SLP
• Thomas J Friedt, DDS
• Anthony J. Garbs, D.C.

• Family Medicine Physician in Mont Belvieu, TX
• Providers in Mont Belvieu, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.