Man Alive Hormone and Wellness Center LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

MAN ALIVE HORMONE AND WELLNESS CENTER LLC

Practice address

9625 Spencer Hwy # a
La Porte, TX 77571-3882

Phone

(832) 588-6437

NPI assigned

Jun 20, 2023

Organization subpart

No

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

Authorized official

Name

Kyle StanillaNPI 1699247338

Title

Nurse Practitioner

Phone

(832) 588-6437

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kyle Martin Stanilla, NP

  • Family Nurse Practitioner
  • Pearland, TX
  • NPI 1699247338
  NPD Authorized official

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1932884566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 HOLLOW MIST LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815689",
            "telephone_number": "832-588-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9625 SPENCER HWY # A",
            "city": "LA PORTE",
            "state": "TX",
            "postal_code": "775713882",
            "telephone_number": "832-588-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAN ALIVE HORMONE AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "STANILLA",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "832-588-6437"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Magill, NP
• Gayla M Maher, D.D.S.
• Lawrence Warren Maher III, D.D.S.
• Yvonne Mai, PHARMD
• Mainland American Sleep Diagnostics Center, Inc.
• Kapil Mangla
• Tenecia Mason
• McCrae Management and Investments, LTD.
• Grace McIntyre, RN
• Patrick McParland, D.D.S.

• Endocrinology, Diabetes & Metabolism Physician in La Porte, TX
• Providers in La Porte, TX by specialty
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.