Organization Active NPI

Pmak Healthcare LLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1881248128
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PMAK HEALTHCARE LLC
Doing business as
Pmak Healthcare LLC
Practice address
11618 Ogunnowo LN
Houston, TX 77031-1513
Phone
(832) 457-0943
Fax
(713) 266-8015
NPI assigned
Jul 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Priscilla Ogunnowo, FNPNPI 1184186116
Title
FNP
Phone
(832) 457-0943

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

11618 Ogunnowo LN
Houston, TX 77031-1513

Mailing address

11618 Ogunnowo LN
Houston, TX 77031-1513
Phone (832) 457-0943

Other names 1

  • PMAK HEALTHCARE LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1881248128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11618 OGUNNOWO LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770311513",
            "telephone_number": "832-457-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11618 OGUNNOWO LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770311513",
            "telephone_number": "832-457-0943",
            "fax_number": "713-266-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMAK HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "OGUNNOWO",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "832-457-0943",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMAK HEALTHCARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 25, 2019; 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.