Texas Innovative Medics PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TEXAS INNOVATIVE MEDICS PLLC

Practice address

203 Brand LN Ste 35
Stafford, TX 77477-5317

Phone

(281) 598-6614

Fax

(281) 598-6615

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Martin Kay

Title

Administrator

Phone

(866) 439-3165

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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

• Humera Naqvi, MD

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1215247358
  Medicare reassignment NPD
• Susan O. Ajayi, FNP

  • Nurse Practitioner
  • Houston, TX
  • NPI 1447893276

  Single Specialty

  NPD
• Shona Baylor, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1760146542
  NPD
• Riaz Ul Haque, M.D.

  • Family Medicine Physician
  • Pearland, TX
  • NPI 1881697852
  NPD
• Steven Howard Thompson, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1205942497
  NPD
• Angela Diahann Tyler, FNP

  • Family Nurse Practitioner
  • Snyder, TX
  • NPI 1720625213
  NPD

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1851133904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BRAND LN STE 35",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775317",
            "telephone_number": "281-598-6614",
            "fax_number": "281-598-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BRAND LN STE 35",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775317",
            "telephone_number": "281-598-6614",
            "fax_number": "281-598-6615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11920 S Highway 6 Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774985748",
            "country_code": "US",
            "telephone_number": "281-617-8671",
            "fax_number": "832-944-6133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS INNOVATIVE MEDICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A",
        "authorized_official_last_name": "KAY",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "866-439-3165"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Zaid Kahssay Teklhaimanot
• Angela Terrell
• Gelatia Tesfaye, D.D.S.
• Texas Little Teeth Pediatric Dentistry
• Texas Med Support LLC
• Texas Parkway Pharmacy
• Texas Rehab LLC
• Danny Thai

• Internal Medicine Physician in Stafford, TX
• Providers in Stafford, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.