Individual provider Active NPI

Gregory Testamarck, NP

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1760920367
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1151233 Issued in TX
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

Updated by the provider on May 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 246ZC0007X SA00468 TX
Registered Nurse 163W00000X 1151233 TX
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
SA00721OtherTXTEXAS MEDICAL BOARD
8QF483OtherTXBCBS - UNIVERSAL SURGICAL PARTNERS
8PX957OtherTXBCBS- US MSO
8QA718OtherTXBCBS - BLUE STAR SURGICAL
8QC669OtherTXBCBS - XCITE SURGICAL ASSISTANTS
8QC851OtherTXBCBS - 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

LicenseStateTypeSpecialty
1151233TXMDRegistered Nurse
SA00468TXMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.