Active NPI
Gregory Testamarck, NP
- Family Nurse Practitioner
- Houston, TX
National Provider Identifier
1760920367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1151233
- Practice address
- 2200 Aldine Mail Route Rd Ste 104
Houston, TX 77039-5532 - Phone
- (346) 229-4177
- Fax
- (346) 229-4190
- NPI assigned
- Feb 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA00468 | TX | |
| Registered Nurse | 163W00000X | 1151233 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1151233 | TX | Primary |
Addresses
Primary practice location
2200 Aldine Mail Route Rd Ste 104
Houston, TX 77039-5532
Mailing address
4411 Charriton Dr
Houston, TX 77039-4709
Phone (832) 526-1849
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA00721 | Other | TX | TEXAS MEDICAL BOARD |
| 8QF483 | Other | TX | BCBS - UNIVERSAL SURGICAL PARTNERS |
| 8PX957 | Other | TX | BCBS- US MSO |
| 8QA718 | Other | TX | BCBS - BLUE STAR SURGICAL |
| 8QC669 | Other | TX | BCBS - XCITE SURGICAL ASSISTANTS |
| 8QC851 | Other | TX | BCBS - UNIVERSAL SURGICAL ASSISTANTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1151233 | TX | MD | Registered Nurse |
| SA00468 | TX | MD | Surgical Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLCR Surgical LTD. | Multi-Specialty | Past | Accepting new patients |
| TLC Surgical Management, LLC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgical Physician Assistant
- Tomball, TX
- NPI 1114218054
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1760920367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 CHARRITON DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770394709",
"telephone_number": "832-526-1849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 ALDINE MAIL ROUTE RD STE 104",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770395532",
"telephone_number": "346-229-4177",
"fax_number": "346-229-4190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESTAMARCK",
"first_name": "GREGORY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-03",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "SA00468",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "1151233",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1151233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "SA00721",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - UNIVERSAL SURGICAL PARTNERS",
"identifier": "8QF483",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS- US MSO",
"identifier": "8PX957",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - BLUE STAR SURGICAL",
"identifier": "8QA718",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - XCITE SURGICAL ASSISTANTS",
"identifier": "8QC669",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - UNIVERSAL SURGICAL ASSISTANTS",
"identifier": "8QC851",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.