Texas Critical Care Staffing, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TEXAS CRITICAL CARE STAFFING, LLC

Practice address

14405 Walters Rd Ste 144
Houston, TX 77014-1359

Phone

(501) 837-3680

NPI assigned

Mar 22, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Ellison, M. D.NPI 1013013721

Title

Managing Member

Phone

(501) 837-3680

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nicole M Ellison, M.D.

  • Family Medicine Physician
  • Woodville, TX
  • NPI 1013013721
  NPD Authorized official

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1740866581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SANDWELL PL",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773892038",
            "telephone_number": "501-837-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14405 WALTERS RD STE 144",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141359",
            "telephone_number": "501-837-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS CRITICAL CARE STAFFING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "501-837-3680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Houston, TX
• Providers in Houston, 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 22, 2021; 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.