Organization Active NPI

Edna of Texas

  • Health Maintenance Organization
  • Sugar Land, TX
National Provider Identifier
1710136973
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
EDNA OF TEXAS
Practice address
1907 Summerfield PL
Sugar Land, TX 77478-2555
Phone
(281) 494-9366
NPI assigned
Sep 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Mrs. Fatimah Adeyemi Shittu
Title
Administrator
Phone
(281) 494-9366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1907 Summerfield PL
Sugar Land, TX 77478-2555

Mailing address

1907 Summerfield PL
Sugar Land, TX 77478-2555
Phone (281) 494-9366

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1710136973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 SUMMERFIELD PL",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782555",
            "telephone_number": "281-494-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 SUMMERFIELD PL",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782555",
            "telephone_number": "281-494-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDNA OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "SHITTU",
        "authorized_official_first_name": "FATIMAH",
        "authorized_official_middle_name": "ADEYEMI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-494-9366",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.