| Champions Point Family Clinic Llc | |
|
5367 W Richey Rd Houston TX 77066 | |
| (713) 423-4157 | |
| Not Available |
| Full Name | Champions Point Family Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5367 W Richey Rd, Houston, Texas |
| Authorized Official Name and Position | Raquel Torres (MEMBER/FNP-C) |
| Authorized Official Contact | 2818953008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Champions Point Family Clinic Llc 5367 W Richey Rd Houston TX 77066-3323 Ph: (281) 895-3008 | Champions Point Family Clinic Llc 5367 W Richey Rd Houston TX 77066 Ph: (713) 423-4157 |
| NPI Number | 1528555307 |
|---|---|
| Provider Enumeration Date | 04/17/2018 |
| Last Update Date | 07/15/2018 |
| Medicare PECOS PAC ID | 0345597431 |
|---|---|
| Medicare Enrollment ID | O20180720000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528555307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Raquel Torres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225404171 PECOS PAC ID: 4789963117 Enrollment ID: I20180720000247 |
| Provider Name | Heena Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063778660 PECOS PAC ID: 3476791492 Enrollment ID: I20181204000838 |
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