Organization Active NPI

Tamyra Comeaux

  • Exclusive Provider Organization
  • Houston, TX
National Provider Identifier
1851798425
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
L0096 Issued in TX
Legal business name
TAMYRA COMEAUX
Practice address
11811 FM 1960 Rd W
Houston, TX 77065-3827
Phone
(832) 237-4269
NPI assigned
Nov 26, 2014
Last updated
Nov 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

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

Authorized official

Name
Mrs. Rhonda Dallas
Title
Practice Administrator
Phone
(832) 237-4269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X L0096 TX Primary

Addresses

Primary practice location

11811 FM 1960 Rd W
Houston, TX 77065-3827

Mailing address

11811 FM 1960 Rd W
Houston, TX 77065-3827
Phone (832) 237-4269

Other identifiers 1

IdentifierTypeStateIssuer
030224201MedicaidTX

National Provider Directory

National Provider Directory

Locations

11811 FM 1960 Rd W
Houston, TX 77065
Phone (512) 599-8022

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1851798425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653827",
            "telephone_number": "832-237-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653827",
            "telephone_number": "832-237-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMYRA COMEAUX",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "DALLAS",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "832-237-4269",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "L0096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030224201",
            "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 Nov 26, 2014; 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.