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BIRD DOG WELLNESS
NPI 1124488085
Internal Medicine in Houston, TX

Active since March 03, 2016CLIA 45D2194618 · Accreditation
12242 QUEENSTON BLVD STE E, HOUSTON, TX 77095(713) 252-3579(800) 434-7514 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2020, Sep 11, 2018, Jul 14, 2017 and 5 more (8 updates tracked since 2016).

About Bird Dog Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIRD DOG WELLNESS (NPI 1124488085) is a healthcare organization registered as an internal medicine in Houston, Texas and active in the NPI registry since March 2016. The organization holds an CLIA Accreditation certificate valid through March 10, 2027, maintains 4 additional practice locations, and lists Johnny Gilbert, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124488085
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBIRD DOG PHARMA, LLC
Location Address12242 QUEENSTON BLVD STE EHouston, TX 77095-5353
Mailing Address12242 Queenston Blvd Ste EHouston, TX 77095-5353 · (713) 252-3579 · Fax (800) 434-7514
Phone(713) 252-3579
Fax(800) 434-7514
Organization SubpartNo
Authorized OfficialJohnny GilbertCeo · (713) 252-3579
Enumeration DateMarch 3, 2016
Last NPPES UpdateDecember 11, 20208 updates tracked since enumeration
NPPES CertifiedDecember 11, 2020
✔ NPI 1124488085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPhysiological LaboratoryTaxonomy 293D00000X
12242 QUEENSTON BLVD STE E, Houston, TX 77095
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Other Names 1

Doing Business AsBird Dog Wellness

Secondary Practice Locations 4

Location 16301 Richmond Ave Ste 101Houston, TX 77057-5905 · Phone (713) 252-3579
Location 2128 N Salinas Blvd Ste BDonna, TX 78537-2926 · Phone (713) 252-3579
Location 37030 Bretshire DrHouston, TX 77016-3704 · Phone (713) 252-3579
Location 4101 W Village Blvd Ste ALaredo, TX 78041-2211 · Phone (713) 252-3579

Other Identifiers 2

Medicaid367518303TX
Medicaid367518301TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 45D2194618

Bird Dog Pharma, LLC · Houston, TX
Active · expires Mar 10, 2027
CLIA Number45D2194618
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorHemarani Sivarajan
Laboratory Phone(713) 252-3579
Laboratory LocationBird Dog Pharma, LLC12242 Queenston Blvd, Suite E, Houston, TX 77095
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TURNKEY ALLERGY SOLUTIONS, LLC
Family Medicine
12242 QUEENSTON BLVD STE E
HOUSTON, TX 77095
Harris County (713) 252-3579

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bird Dog Pharma, LLC's NPI number?

The NPI number for Bird Dog Pharma, LLC is 1124488085. It was assigned to this organization in the NPPES registry on March 3, 2016. The provider is doing business as Bird Dog Wellness.

Where is Bird Dog Pharma, LLC located?

Bird Dog Pharma, LLC is located at 12242 Queenston Blvd Ste E, Houston, TX 77095. The listed phone number is (713) 252-3579.

What is Bird Dog Pharma, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Bird Dog Pharma, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 45D2194618) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bird Dog Pharma, LLC accept?

Health plans from Molina Healthcare list Bird Dog Pharma, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bird Dog Pharma, LLC was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.