Maydelis Suarez Rivas, | |
21223 Brookwood Crescent Dr, Katy, TX 77449-2849 | |
(386) 205-4365 | |
Not Available |
Full Name | Maydelis Suarez Rivas |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 21223 Brookwood Crescent Dr, Katy, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962048751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 979574 (Texas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1105207 (Texas) | Primary |
Entity Name | Clinica Latina Familiar 2 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285332908 PECOS PAC ID: 6608230685 Enrollment ID: O20230908002056 |
Entity Name | Clinica Latina Familiar 1 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790556710 PECOS PAC ID: 3870934052 Enrollment ID: O20240520000487 |
Mailing Address | Practice Location Address |
---|---|
Maydelis Suarez Rivas, 21223 Brookwood Crescent Dr, Katy, TX 77449-2849 Ph: (386) 205-4365 | Maydelis Suarez Rivas, 21223 Brookwood Crescent Dr, Katy, TX 77449-2849 Ph: (386) 205-4365 |
Mrs. Bolanle Adetutu Toriola, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Park Grove Dr, Katy, TX 77450 Phone: 409-266-1888 | |
Justin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23900 Katy Fwy, Katy, TX 77494 Phone: 281-644-7000 | |
Mrs. Patricia A Mcdaniel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1313 N Fry Rd, Katy, TX 77449 Phone: 281-829-3618 Fax: 281-829-9326 | |
Mrs. Cassandra Chidimma Eneremadu, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1463 S Mason Rd, Katy, TX 77450 Phone: 305-266-2929 Fax: 915-533-8055 | |
Mr. Francis Tunji Awopegba, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19318 Cypress Arbor Ct, Katy, TX 77449 Phone: 414-510-3804 | |
Pasaka Ramogi Gwan, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 S Fry Rd, Katy, TX 77450 Phone: 281-599-5700 | |
Alicia Sherray Myles, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22003 Whitford Ct, Katy, TX 77450 Phone: 832-757-6001 |