Active NPI
DMB Medical Management LLC
- Family Nurse Practitioner
- Houston, TX
National Provider Identifier
1689185142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP130342 | Other | TX | TEXAS MEDICAL LICENSE |
Other names 1
- DMB Family Medical Clinic
National Provider Directory
National Provider DirectoryLocations
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.