Aimsmedtx Llc | |
1045 Gemini St Houston TX 77058-2805 | |
(574) 804-9007 | |
(574) 747-8652 |
Full Name | Aimsmedtx Llc |
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Speciality | Internal Medicine |
Location | 1045 Gemini St, Houston, Texas |
Authorized Official Name and Position | Vanessa Blossom (REVENUE CYCLE DIRECTOR) |
Authorized Official Contact | 5748049007 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Aimsmedtx Llc 111 E 3rd St Po Box 768 Mishawaka IN 46546-0768 Ph: (574) 804-9007 | Aimsmedtx Llc 1045 Gemini St Houston TX 77058-2805 Ph: (574) 804-9007 |
NPI Number | 1386253490 |
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Provider Enumeration Date | 07/24/2020 |
Last Update Date | 12/08/2020 |
Medicare PECOS PAC ID | 9436564556 |
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Medicare Enrollment ID | O20210222002762 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386253490 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | O'neka Wheeler Ellis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164963815 PECOS PAC ID: 0042587461 Enrollment ID: I20170606001152 |
Provider Name | Shery Cherian |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467602714 PECOS PAC ID: 2264604289 Enrollment ID: I20200127000679 |
Provider Name | Saleen Gigi Mannil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821659798 PECOS PAC ID: 2163838871 Enrollment ID: I20210304000191 |
Provider Name | Shiny Saji Perinjelil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184182347 PECOS PAC ID: 3375959570 Enrollment ID: I20210315000430 |
Provider Name | Grace Chinenye Amah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043777923 PECOS PAC ID: 0648686733 Enrollment ID: I20210316001284 |
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