| Chn Medical Support Systems | |
|
10851 Scarsdale Blvd Ste 200 Houston TX 77089-5738 | |
| (281) 824-1480 | |
| (281) 220-6407 |
| Full Name | Chn Medical Support Systems |
|---|---|
| Speciality | Clinic/Center |
| Location | 10851 Scarsdale Blvd Ste 200, Houston, Texas |
| Authorized Official Name and Position | Linh Tran (DIRECTOR BUSINESS OPERATIONS) |
| Authorized Official Contact | 2819194789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chn Medical Support Systems 10851 Scarsdale Blvd Ste 200 Houston TX 77089-5738 Ph: (281) 824-1480 | Chn Medical Support Systems 10851 Scarsdale Blvd Ste 200 Houston TX 77089-5738 Ph: (281) 824-1480 |
| NPI Number | 1184215352 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 12/20/2022 |
| Medicare PECOS PAC ID | 2365826260 |
|---|---|
| Medicare Enrollment ID | O20220825003950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184215352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Rajyakakshmi Mikkilineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881702470 PECOS PAC ID: 6709863350 Enrollment ID: I20040701001173 |
| Provider Name | Kymberly N Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124057591 PECOS PAC ID: 5597768598 Enrollment ID: I20060811000365 |
| Provider Name | Asit Jaykant Choksi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1295798874 PECOS PAC ID: 2062472822 Enrollment ID: I20100113000327 |
| Provider Name | Yvette M Poindexter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902948326 PECOS PAC ID: 1658412572 Enrollment ID: I20100113000903 |
| Provider Name | Durga P Sunkara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194765743 PECOS PAC ID: 0941333827 Enrollment ID: I20100826001012 |
| Provider Name | Antonia Luisa Way |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588984520 PECOS PAC ID: 3173756160 Enrollment ID: I20140428000975 |
| Provider Name | Uchenna Jones-conley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104310069 PECOS PAC ID: 4789081100 Enrollment ID: I20210927002635 |
| Provider Name | Devin Adam Quiroz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437779774 PECOS PAC ID: 3971934027 Enrollment ID: I20231117000945 |
| Provider Name | Demeatraus Minter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225485253 PECOS PAC ID: 5597207688 Enrollment ID: I20240604003387 |
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