| Bay Area Total Health Medical Grp, Pa | |
|
333 N Texas Ave Ste 4100 Webster TX 77598 | |
| (832) 984-6549 | |
| (281) 338-7755 |
| Full Name | Bay Area Total Health Medical Grp, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 N Texas Ave, Webster, Texas |
| Authorized Official Name and Position | Sandra A Rodriguez (CREDENTIALING ADMIN) |
| Authorized Official Contact | 8326834132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Total Health Medical Grp, Pa 333 N Texas Ave Ste 4100 Webster TX 77598 Ph: (832) 984-6549 | Bay Area Total Health Medical Grp, Pa 333 N Texas Ave Ste 4100 Webster TX 77598 Ph: (832) 984-6549 |
| NPI Number | 1306179171 |
|---|---|
| Provider Enumeration Date | 09/11/2009 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 2769523505 |
|---|---|
| Medicare Enrollment ID | O20091230000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306179171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P8427 (Texas) | Secondary |
| 207R00000X | Internal Medicine | K5285 (Texas) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | K5285 (Texas) | Primary |
| Provider Name | Pamela D Dugano-daphnis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982695037 PECOS PAC ID: 5597747006 Enrollment ID: I20040607000859 |
| Provider Name | Isabel Padilla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447644950 PECOS PAC ID: 0244525525 Enrollment ID: I20210720003676 |
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