| Ddrg Physicians Llc | |
|
605 Holderrieth Blvd Tomball TX 77375-6445 | |
| (832) 687-5787 | |
| Not Available |
| Full Name | Ddrg Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 605 Holderrieth Blvd, Tomball, Texas |
| Authorized Official Name and Position | Harold David Wills (PRESIDENT) |
| Authorized Official Contact | 8326875787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ddrg Physicians Llc 18 Cape Jasmine Pl The Woodlands TX 77381-6459 Ph: (832) 794-0044 | Ddrg Physicians Llc 605 Holderrieth Blvd Tomball TX 77375-6445 Ph: (832) 687-5787 |
| NPI Number | 1770939886 |
|---|---|
| Provider Enumeration Date | 05/07/2016 |
| Last Update Date | 08/28/2021 |
| Medicare PECOS PAC ID | 6507150836 |
|---|---|
| Medicare Enrollment ID | O20160810000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770939886 | NPI | - | NPPES |
| 1932162252 | Other | TX | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | Harold D Wills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932162252 PECOS PAC ID: 0840279063 Enrollment ID: I20040720000275 |
| Provider Name | Sirisha Parvataneni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326206822 PECOS PAC ID: 0042465205 Enrollment ID: I20130220000042 |
| Provider Name | Maria Ella Bacareza Valbuena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235628686 PECOS PAC ID: 0345584918 Enrollment ID: I20181208000053 |
| Provider Name | Cassie Li Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770947509 PECOS PAC ID: 4284963794 Enrollment ID: I20190909003494 |
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Trmc Provider Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 605 Holderrieth Blvd, Tomball, TX 77375 Phone: 281-401-7620 | |
Synergenx Health - Knoxville Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16131 N Eldridge Pkwy Ste 100, Tomball, TX 77377 Phone: 281-429-8525 | |
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