TTKT Medical PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TTKT MEDICAL PLLC

Practice address

14248 Bellaire Blvd Ste 111
Houston, TX 77083-7536

Phone

(832) 680-1038

Fax

(617) 485-1677

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Tam Truong, MDNPI 1104083039

Title

Owner

Phone

(832) 680-1038

Specialties & licenses 1

Addresses

Other names 1

• WELLNESS SQUAD Doing business as

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 2

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

• Tam Minh Truong, M.D.

  • Internal Medicine Physician
  • The Woodlands, TX
  • NPI 1104083039
  Medicare reassignment NPD Authorized official
• My Kim Tran, PA-C

  • Physician Assistant
  • Houston, TX
  • NPI 1023614104
  Medicare reassignment

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1932989456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14842 DORRAY LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770821756",
            "telephone_number": "832-680-1038",
            "fax_number": "617-485-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14248 BELLAIRE BLVD STE 111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770837536",
            "telephone_number": "832-680-1038",
            "fax_number": "617-485-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TTKT MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "TAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-680-1038",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WELLNESS SQUAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mia Tsukano
• Ann Hanyi Tsung, M.D.
• Byron E. Tsusaki, D.O.
• Rebecca Louise Tsusaki, PHD, RN, WHNP-BC
• TT Pharmacy
• TTMC Clinic PLLC
• Tu Farmaciallc
• Tu Minh la Dental PLLC
• Denise DN Tu, DDS
• Dieu-Hien T Tu, DMD

• Internal Medicine Physician in Houston, TX
• Providers in Houston, 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 Oct 2, 2023; 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.