Provider Demographics
NPI:1790221505
Name:MEDCOMPLETE LLC
Entity Type:Organization
Organization Name:MEDCOMPLETE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-838-4031
Mailing Address - Street 1:26717 WESTHEIMER PKWY STE 103
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-5374
Mailing Address - Country:US
Mailing Address - Phone:832-838-4031
Mailing Address - Fax:832-838-4032
Practice Address - Street 1:25118 LAKEVIEW RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5509
Practice Address - Country:US
Practice Address - Phone:832-838-4031
Practice Address - Fax:832-838-4032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP123663261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX364SX0200XOtherTAXONOMY
TXAP123663OtherMEDICARE