| Diversified Medical Practices, P.a. | |
|
6301 Richmond Ave Ste 101 Houston TX 77057-5905 | |
| (713) 961-7100 | |
| (713) 961-3085 |
| Full Name | Diversified Medical Practices, P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 6301 Richmond Ave Ste 101, Houston, Texas |
| Authorized Official Name and Position | Patricia Denise Salvato (OWNER) |
| Authorized Official Contact | 7139617100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Medical Practices, P.a. 6301 Richmond Ave Ste 101 Houston TX 77057-5905 Ph: (713) 961-7100 | Diversified Medical Practices, P.a. 6301 Richmond Ave Ste 101 Houston TX 77057-5905 Ph: (713) 961-7100 |
| NPI Number | 1750562575 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 04/01/2021 |
| Medicare PECOS PAC ID | 7113975897 |
|---|---|
| Medicare Enrollment ID | O20050110000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750562575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G0049 (Texas) | Primary |
| Provider Name | Patricia D Salvato |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043218845 PECOS PAC ID: 7315995099 Enrollment ID: I20051011000437 |
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