| Mysaiah, Llc | |
|
77 Sugar Creek Center Blvd Suite 600 Sugar Land TX 77478 | |
| (832) 429-7307 | |
| (833) 967-1871 |
| Full Name | Mysaiah, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 77 Sugar Creek Center Blvd Suite 600, Sugar Land, Texas |
| Authorized Official Name and Position | Lisa Ghiloni (OWNER) |
| Authorized Official Contact | 6143545472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mysaiah, Llc 77 Sugar Creek Center Blvd Suite 600 Sugar Land TX 77478-8006 Ph: (832) 429-7307 | Mysaiah, Llc 77 Sugar Creek Center Blvd Suite 600 Sugar Land TX 77478 Ph: (832) 429-7307 |
| NPI Number | 1578139317 |
|---|---|
| Provider Enumeration Date | 06/02/2021 |
| Last Update Date | 10/29/2024 |
| Certification Date | 10/24/2024 |
| Medicare PECOS PAC ID | 1850789223 |
|---|---|
| Medicare Enrollment ID | O20211104000990 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578139317 | NPI | - | NPPES |
| Provider Name | Lisa Ghiloni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770192775 PECOS PAC ID: 5496143869 Enrollment ID: I20211104001037 |
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