Organization Active NPI

DMB Medical Management LLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1689185142
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DMB MEDICAL MANAGEMENT LLC
Practice address
2715 Fannin St Ste a
Houston, TX 77002-9217
Phone
(281) 501-0853
Fax
(281) 501-0882
NPI assigned
Oct 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Philana Boyd, FNP-C
Title
Owner
Phone
(281) 501-0853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2715 Fannin St Ste a
Houston, TX 77002-9217

Mailing address

2715 Fannin St Ste a
Houston, TX 77002-9217
Phone (281) 501-0853

Other identifiers 1

IdentifierTypeStateIssuer
AP130342OtherTXTEXAS MEDICAL LICENSE

Other names 1

  • DMB Family Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2715 Fannin St
Ste A
Houston, TX 77002
Phone (281) 501-0853

NPI Registry JSON

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1689185142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 FANNIN ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029217",
            "telephone_number": "281-501-0853",
            "fax_number": "281-501-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 FANNIN ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029217",
            "telephone_number": "281-501-0853",
            "fax_number": "281-501-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DMB MEDICAL MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-23",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "PHILANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-501-0853",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "AP130342",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMB Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 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.

Verify at the official NPI Registry.