Kim Ike Ezekwesili, | |
6720 Bertner Ave, Houston, TX 77030-2604 | |
(832) 355-1000 | |
Not Available |
Full Name | Kim Ike Ezekwesili |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 2 Years |
Location | 6720 Bertner Ave, 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 |
---|---|---|---|
1659026680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 856879 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Houston Methodist Hospital | Houston, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
U S Anesthesia Partners Of Texas, Pa | 7315850351 | 2379 |
Entity Name | U S Anesthesia Partners Of Texas, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548208564 PECOS PAC ID: 7315850351 Enrollment ID: O20031106000563 |
Entity Name | Rio Grande Anesthesia & Pain Medicine Consultants, P .a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962457234 PECOS PAC ID: 4880507763 Enrollment ID: O20031106000738 |
Mailing Address | Practice Location Address |
---|---|
Kim Ike Ezekwesili, 24818 Pleasant Shores Ct, Richmond, TX 77406-1682 Ph: () - | Kim Ike Ezekwesili, 6720 Bertner Ave, Houston, TX 77030-2604 Ph: (832) 355-1000 |
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