| Copperfield Medical Practice Pllc | |
|
8686 Highway 6 N Houston TX 77095-2101 | |
| (281) 861-4051 | |
| (281) 861-4051 |
| Full Name | Copperfield Medical Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8686 Highway 6 N, Houston, Texas |
| Authorized Official Name and Position | Jinny Narula (OWNER) |
| Authorized Official Contact | 2818614212 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Copperfield Medical Practice Pllc 8686 Highway 6 N Houston TX 77095-2101 Ph: (281) 861-4212 | Copperfield Medical Practice Pllc 8686 Highway 6 N Houston TX 77095-2101 Ph: (281) 861-4051 |
| NPI Number | 1043994379 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 05/16/2024 |
| Medicare PECOS PAC ID | 5193184745 |
|---|---|
| Medicare Enrollment ID | O20230629003704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043994379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jinny Narula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801095880 PECOS PAC ID: 3678743788 Enrollment ID: I20110829000397 |
| Provider Name | Regina Ottan-obi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164950283 PECOS PAC ID: 1951710656 Enrollment ID: I20240612000878 |
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