Mgab Med PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MGAB MED PLLC

Practice address

4220 Cartwright Rd Ste 703
Missouri City, TX 77459-5312

Phone

(281) 969-8777

Fax

(281) 916-6304

NPI assigned

Jan 27, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Azam Bakhshandeh, FNPNPI 1285236430

Title

FNP

Phone

(281) 969-8777

Specialties & licenses 1

Addresses

Other names 1

• Brightwater Urgent & Family Care Clinic 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.

• Azam Bakhshandeh, FNP

  • Family Nurse Practitioner
  • Missouri City, TX
  • NPI 1285236430
  Medicare reassignment NPD Authorized official
• Amirsaeid Ghamary, FNP

  • Family Nurse Practitioner
  • Missouri City, TX
  • NPI 1548993769
  Medicare reassignment NPD

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1942916465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 CARTWRIGHT RD STE 703",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595312",
            "telephone_number": "281-969-8777",
            "fax_number": "281-916-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CARTWRIGHT RD STE 703",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595312",
            "telephone_number": "281-969-8777",
            "fax_number": "281-916-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGAB MED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "BAKHSHANDEH",
        "authorized_official_first_name": "AZAM",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "281-969-8777",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brightwater Urgent & Family Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary E Mercer, RPH
• Paul R. Mercier, ENP
• Katherine E Meserve, LCSW
• Metropolitan Assisted Living
• Metropolitan Health Care
• MHCS Group Inc
• Denise Liau Miano
• Clementine Michael Hailu, MPT
• Michael S Rehabilitation PLLC
• Midean Community Services LLC

• Family Medicine Physician in Missouri City, TX
• Providers in Missouri City, 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 27, 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.