Active NPI
Dedric Myers, MT(ASCP)
- Primary Care Clinic/Center
- Houston, TX
National Provider Identifier
1962103689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Practice address
- 10039 Bissonnet St Ste 307
Houston, TX 77036-7840 - Phone
- (281) 844-8337
- NPI assigned
- Mar 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Community Health Clinic/Center | 261QC1500X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Medical Laboratory Technician | 246RM2200X |
Addresses
Primary practice location
10039 Bissonnet St Ste 307
Houston, TX 77036-7840
Mailing address
3 Sugar Creek Center Blvd Ste 100
Sugar Land, TX 77478-2211
Phone (281) 844-8337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dedric K. Myers & Associates, LLC | Community Health | Current | Accepting new patients |
Locations
10039 Bissonnet St
Ste 307
Houston, TX 77036
Phone (281) 636-5309
3 Sugar Creek Center Blvd
Ste 100
Sugar Land, TX 77478
Phone (713) 227-7275
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- Houston, TX
- NPI 1912607227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678406400000",
"number": "1962103689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SUGAR CREEK CENTER BLVD STE 100",
"city": "SUGAR LAND",
"state": "TX",
"postal_code": "774782211",
"telephone_number": "281-844-8337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10039 BISSONNET ST STE 307",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770367840",
"telephone_number": "281-844-8337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "DEDRIC",
"credential": "MT(ASCP)",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-10",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "246RM2200X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.