Campbell Family Practice And Internal Medicine Associates | |
10950 Resource Pkwy Suite A Houston TX 77089-6134 | |
(281) 484-5587 | |
(281) 464-6480 |
Full Name | Campbell Family Practice And Internal Medicine Associates |
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Speciality | Family Medicine |
Location | 10950 Resource Pkwy, Houston, Texas |
Authorized Official Name and Position | Amir R Ghebranious (OWNER/PHYSICIAN) |
Authorized Official Contact | 2814845587 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Campbell Family Practice And Internal Medicine Associates 10950 Resource Pkwy Suite A Houston TX 77089-6134 Ph: (281) 484-5587 | Campbell Family Practice And Internal Medicine Associates 10950 Resource Pkwy Suite A Houston TX 77089-6134 Ph: (281) 484-5587 |
NPI Number | 1245438175 |
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Provider Enumeration Date | 07/03/2007 |
Last Update Date | 07/05/2016 |
Medicare PECOS PAC ID | 0840397832 |
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Medicare Enrollment ID | O20070720000066 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245438175 | NPI | - | NPPES |
00517K | Other | TX | BCBS TX PRACTICE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H4207 (Texas) | Primary |
207R00000X | Internal Medicine | J9051 (Texas) | Secondary |
Provider Name | Amir R Ghebranious |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093777211 PECOS PAC ID: 6406957471 Enrollment ID: I20110819000325 |
Provider Name | Mary Campbell-fox |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174585871 PECOS PAC ID: 5294914362 Enrollment ID: I20110824000554 |
Provider Name | Karina Gonzalez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104483775 PECOS PAC ID: 6901257476 Enrollment ID: I20240109002413 |
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