| Adu Sports Medicine Clinic | |
|
9410 Ne Zac Lentz Parkway Suite 200 Victoria TX 77904 | |
| (361) 582-7900 | |
| (361) 582-7902 |
| Full Name | Adu Sports Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 9410 Ne Zac Lentz Parkway, Victoria, Texas |
| Authorized Official Name and Position | Ayo Adu (PHYSICIAN) |
| Authorized Official Contact | 3615827900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adu Sports Medicine Clinic 9410 Ne Zac Lentz Parkway Suite 200 Victoria TX 77904 Ph: (361) 582-7900 | Adu Sports Medicine Clinic 9410 Ne Zac Lentz Parkway Suite 200 Victoria TX 77904 Ph: (361) 582-7900 |
| NPI Number | 1508126442 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 05/02/2023 |
| Medicare PECOS PAC ID | 9133377427 |
|---|---|
| Medicare Enrollment ID | O20120911000537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508126442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | P1256 (Texas) | Primary |
| Provider Name | Ayo Adu |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1992966048 PECOS PAC ID: 1759578198 Enrollment ID: I20120918000585 |
Gulshan K, Minocha. Md.pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Citizens Plaza, 406, Victoria, TX 77901 Phone: 361-572-0000 Fax: 361-574-1787 | |
Javier Vazquez Ortiz M.d., Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2705 Hospital Dr Ste 202, Victoria, TX 77901 Phone: 361-220-7016 Fax: 361-894-6373 | |
Frederick B Niegos Mdpa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 Citizens Plaza, Suite 206, Victoria, TX 77901 Phone: 361-574-1870 Fax: 361-574-1871 | |
Victoria Pediatrics & Adolescents Assoc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4304 Retama Cir, Victoria, TX 77901 Phone: 361-576-2134 Fax: 361-578-0221 | |
Victoria Physicians Solutions,llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 Hospital Dr, Victoria, TX 77901 Phone: 361-576-3680 Fax: 361-576-4219 | |
Divyatish Primary Care Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E San Antonio St Ste 304w, Victoria, TX 77901 Phone: 361-576-3680 Fax: 361-576-4219 | |
Crossroads Virology Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1403 Victoria Station Dr, Victoria, TX 77901 Phone: 361-571-7956 Fax: 361-214-1460 |