Gavin Neal Wagenheim, MD | |
6431 Fannin St, Suite 6.018, Houston, TX 77030-1501 | |
(713) 500-7391 | |
Not Available |
Full Name | Gavin Neal Wagenheim |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 13 Years |
Location | 6431 Fannin St, Houston, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467702597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | Q7979 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hermann Hospital System | Houston, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Hermann Medical Group | 7012008360 | 601 |
Entity Name | Memorial Hermann Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003985102 PECOS PAC ID: 7012008360 Enrollment ID: O20070801000368 |
Mailing Address | Practice Location Address |
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Gavin Neal Wagenheim, MD 250 Blossom St, Ste 220, Webster, TX 77598-4243 Ph: (713) 500-7391 | Gavin Neal Wagenheim, MD 6431 Fannin St, Suite 6.018, Houston, TX 77030-1501 Ph: (713) 500-7391 |
Guilherme Godoy, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 6620 Main St, Suite 1325, Ms Bcm380, Houston, TX 77030 Phone: 713-798-5628 Fax: 713-798-5553 | |
Kelly Bree, M.D. Urology Medicare: Medicare Enrolled Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 | |
Prof. Peter Phuc Hinh, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1200 Binz St Ste 690, Houston, TX 77004 Phone: 713-366-7831 Fax: 713-482-5815 | |
Dr. Herbert L Watkins, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1140 Westmont Dr Ste 425, Houston, TX 77015 Phone: 713-453-4395 Fax: 713-453-4397 | |
Dr. Kumaran Sathyamoorthy, MD, MPH Urology Medicare: Accepting Medicare Assignments Practice Location: 10425 Huffmeister Rd Ste 210, Houston, TX 77065 Phone: 281-890-0911 Fax: 281-890-0980 | |
Kevin G Nickell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 7777 Southwest Fwy, # 1032, Houston, TX 77074 Phone: 713-351-0644 Fax: 713-351-0633 | |
Richard J. Babaian, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 |