| Coastal Medical Group | |
|
11920 Astoria Blvd Suite 110 Houston TX 77089 | |
| (281) 464-8484 | |
| (281) 464-8432 |
| Full Name | Coastal Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 11920 Astoria Blvd, Houston, Texas |
| Authorized Official Name and Position | Aslam Loya (PHYSICIAN) |
| Authorized Official Contact | 2814648484 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Medical Group 11920 Astoria Blvd. Suite 110 Houston TX 77089 Ph: (281) 464-8484 | Coastal Medical Group 11920 Astoria Blvd Suite 110 Houston TX 77089 Ph: (281) 464-8484 |
| NPI Number | 1659580728 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 05/14/2009 |
| Medicare PECOS PAC ID | 7113972233 |
|---|---|
| Medicare Enrollment ID | O20050322000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659580728 | NPI | - | NPPES |
| 031088001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Roger C Willette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831138445 PECOS PAC ID: 8426027921 Enrollment ID: I20040930001112 |
| Provider Name | Munir Loya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720070121 PECOS PAC ID: 2961466412 Enrollment ID: I20041115001285 |
| Provider Name | Aslam Mohammad Loya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700878816 PECOS PAC ID: 6103871223 Enrollment ID: I20050323000115 |
| Provider Name | Muhammad Farhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184144289 PECOS PAC ID: 1658647656 Enrollment ID: I20171018002800 |
| Provider Name | Catherine T Pence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932667474 PECOS PAC ID: 0941530711 Enrollment ID: I20190920000178 |
| Provider Name | Michelle R Turlington |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1083118665 PECOS PAC ID: 6103240270 Enrollment ID: I20200722000874 |
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