NPI Code Details Logo

NPI 1447164504

NPI 1447164504 : TRUEPATH DIGNOSTICS : HOUSTON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1447164504
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    TRUEPATH DIGNOSTICS 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/28/2026
-----------------------------------------------------
    Last Update Date     |    09/28/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    15550 KINGFIELD DR APT 1204 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77084-6269
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    945-206-0473
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    5900 BALCONES DR 
-----------------------------------------------------
    City                 |    AUSTIN
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78731-4257
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGING DIRECTOR
-----------------------------------------------------
    Name                 |     MORAISHA  ELLIS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    945-206-0473
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QU0200X
-----------------------------------------------------
    Taxonomy Name        |    Urgent Care Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    332BC3200X
-----------------------------------------------------
    Taxonomy Name        |    Customized Equipment (DME)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    NULL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.