Organization Active NPI

Embee Lifestyle Docs PLLC

  • Internal Medicine Physician
  • Bellaire, TX
National Provider Identifier
1699332825
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
EMBEE LIFESTYLE DOCS PLLC
Practice address
4500 Bissonnet St Ste 355
Bellaire, TX 77401-3124
Phone
(713) 592-8900
Fax
(713) 592-8904
NPI assigned
May 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
Dr. Bandana N Chawla, MDNPI 1619964020
Title
Managing Member
Phone
(713) 592-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

4500 Bissonnet St Ste 355
Bellaire, TX 77401-3124

Mailing address

4500 Bissonnet St Ste 355
Bellaire, TX 77401-3124
Phone (713) 592-8900

Other names 1

  • EMBEE LIFESTYLE DOCS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190829000739 TX Part B Supplier - Clinic/Group Practice 0941538920 Receives reassigned benefits from 1 practitioner
Practice locations: Bellaire, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1699332825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BISSONNET ST STE 355",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013124",
            "telephone_number": "713-592-8900",
            "fax_number": "713-592-8904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BISSONNET ST STE 355",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013124",
            "telephone_number": "713-592-8900",
            "fax_number": "713-592-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBEE LIFESTYLE DOCS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "BANDANA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "713-592-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMBEE LIFESTYLE DOCS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.