Katie J Vichensont, APRN-CNP | |
3737 Red Bluff Rd # 150, Pasadena, TX 77503-3307 | |
(409) 266-1888 | |
Not Available |
Full Name | Katie J Vichensont |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3737 Red Bluff Rd # 150, Pasadena, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699452276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 1113468 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1113468 (Texas) | Primary |
Entity Name | Utmb Faculty Group Practice |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
Mailing Address | Practice Location Address |
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Katie J Vichensont, APRN-CNP 950 Fisher St Unit D, Houston, TX 77018-5367 Ph: (254) 423-9201 | Katie J Vichensont, APRN-CNP 3737 Red Bluff Rd # 150, Pasadena, TX 77503-3307 Ph: (409) 266-1888 |
Guillermo Marquez Macias Sr., Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 908 Southmore Ave Ste 100, Pasadena, TX 77502 Phone: 713-554-1091 | |
Daniel Dao, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5763 Fairmont Pkwy, Pasadena, TX 77505 Phone: 346-320-1800 | |
Harold Bryan Lee, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7720 Spencer Hwy, Pasadena, TX 77505 Phone: 281-476-9900 Fax: 281-479-1320 | |
Mr. Mario Alberto Rodriguez Jr., AGACNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4000 Spencer Hwy, Pasadena, TX 77504 Phone: 713-359-2000 | |
Melissa Vanessa Gonzalez, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3050 Crenshaw Rd, Suite 120, Pasadena, TX 77505 Phone: 832-448-6098 Fax: 713-944-3141 | |
Delia Xiomara Udave, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4024 Brookhaven Ave, Pasadena, TX 77504 Phone: 713-944-2324 Fax: 713-944-1539 | |
Janney Gonzalez Gutierrez, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4450 E Sam Houston Pkwy S Ste H2, Pasadena, TX 77505 Phone: 713-910-7779 |