Dr Jack Pieniazek, DO | |
690 S Loop 336 W, Ste 222, Conroe, TX 77304-3319 | |
(936) 756-6661 | |
(936) 756-6681 |
Full Name | Dr Jack Pieniazek |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 690 S Loop 336 W, Conroe, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164426870 | NPI | - | NPPES |
043624803 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | K0541 (Texas) | Primary |
Entity Name | Kelsey-seybold Medical Group, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
Entity Name | College Park Medicine,pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295815959 PECOS PAC ID: 7113964966 Enrollment ID: O20050413000255 |
Mailing Address | Practice Location Address |
---|---|
Dr Jack Pieniazek, DO 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Dr Jack Pieniazek, DO 690 S Loop 336 W, Ste 222, Conroe, TX 77304-3319 Ph: (936) 756-6661 |
Dr. Ouida Marcia Collins, MD MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1169 Grand Central Pkwy, Conroe, TX 77304 Phone: 936-525-3600 | |
Chandana Chitturi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 605 S Conroe Medical Dr, Conroe, TX 77304 Phone: 936-539-4004 Fax: 936-539-3635 | |
Justin Grissom, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4015 I H 45 N Ste 100, Conroe, TX 77304 Phone: 936-270-4600 | |
Shephali Sharma, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4714 Fm 1488 Rd Ste 132, Conroe, TX 77384 Phone: 877-868-2528 | |
Dr. Samantha Lorel Hinds-campa, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 690 S Loop 336 W, Ste 222, Conroe, TX 77304 Phone: 936-756-6661 Fax: 936-756-6681 | |
John Vernon Peet, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4015 I 45 N, Conroe, TX 77304 Phone: 936-760-7864 | |
Dr. Jason Biscamp, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 690 S Loop 336 W, 3rd Floor, Conroe, TX 77304 Phone: 936-522-4000 Fax: 936-522-4022 |