Eshcol Clinic LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ESHCOL CLINIC LLC

Practice address

9935 Bissonnet St Unit B
Houston, TX 77036-8413

Phone

(713) 391-6863

Fax

(713) 422-2509

NPI assigned

Oct 19, 2020

Organization subpart

No

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

Authorized official

Name

Lazarus Noor

Title

Office Manager

Phone

(281) 713-4911

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Eshcol Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Nkechi Ukomadu

  • Psychiatric/Mental Health Nurse Practitioner
  • Sugar Land, TX
  • NPI 1689032617
  Medicare reassignment NPD

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1962001362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9935 BISSONNET ST UNIT B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368413",
            "telephone_number": "713-391-6863",
            "fax_number": "713-422-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9935 BISSONNET ST UNIT B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368413",
            "telephone_number": "713-391-6863",
            "fax_number": "713-422-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESHCOL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "NOOR",
        "authorized_official_first_name": "LAZARUS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-713-4911"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145638603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eshcol Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eshcol Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Saina Esfandiari, O. D.
• Soroush Esfandiari, D.D.S
• Farzin Eshaghi, MD
• Anthony Eshareturi, MD MENG
• Okeroghene Eshareturi, NP
• Avery Lynn Eshenroder, APRN
• Bijan Eshkevari Sr., DC
• Toluwalashe Esho
• Sahar Soror Eshtehardi, PHD
• Faoziat Akorede Esin

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.