College Park Home Visits MHT LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

L2005 Issued in TX

Legal business name

COLLEGE PARK HOME VISITS MHT LLC

Practice address

3115 College Park Dr
Suite 106
Conroe, TX 77384-4000

Phone

(936) 441-1230

NPI assigned

Dec 19, 2014

Organization subpart

No

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

Authorized official

Name

Samson Sheih, M.D.

Title

President/Owner

Phone

(936) 788-1177

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1932507175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DR STE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693379",
            "telephone_number": "855-860-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 COLLEGE PARK DR",
            "address_2": "SUITE 106",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773844000",
            "telephone_number": "936-441-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PARK HOME VISITS MHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "SHEIH",
        "authorized_official_first_name": "SAMSON",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "936-788-1177",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie May Colas
• Novella Coleman-Usifoh
• Christina Coleman
• Rachel Coleman, LPC
• Christian Iban Colin, MD
• College Park RX LLC
• College Park RX LLC (College Park Pharmacy)
• College Park RX LLC (College Park Pharmacy)
• College Park Surgery Center
• Richard E. Collier Jr., M.D.

• Family Medicine Physician in Conroe, TX
• Providers in Conroe, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.