Jessy A Majekodumi, | |
1515 Holocombe Blvdq, Houston, TX 77030-7703 | |
(713) 745-6947 | |
Not Available |
Full Name | Jessy A Majekodumi |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 1515 Holocombe Blvdq, 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 |
---|---|---|---|
1235889239 | NPI | - | NPPES |
278904 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 139313 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physicians Referral Service | 7911801410 | 2406 |
Entity Name | Physicians Referral Service |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073574810 PECOS PAC ID: 7911801410 Enrollment ID: O20031125000953 |
Mailing Address | Practice Location Address |
---|---|
Jessy A Majekodumi, 15200 Memorial Dr Unit 3212, Houston, TX 77079-2658 Ph: (512) 779-7545 | Jessy A Majekodumi, 1515 Holocombe Blvdq, Houston, TX 77030-7703 Ph: (713) 745-6947 |
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