| Doctor Direct Inc | |
|
920 E Little York Rd Bldg A Houston TX 77076-1682 | |
| (713) 644-0079 | |
| Not Available |
| Full Name | Doctor Direct Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 920 E Little York Rd Bldg A, Houston, Texas |
| Authorized Official Name and Position | Jana Garza (OWNER) |
| Authorized Official Contact | 9566406775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor Direct Inc 920 E Little York Rd Bldg A Houston TX 77076-1682 Ph: (713) 644-0079 | Doctor Direct Inc 920 E Little York Rd Bldg A Houston TX 77076-1682 Ph: (713) 644-0079 |
| NPI Number | 1770232159 |
|---|---|
| Provider Enumeration Date | 03/22/2022 |
| Last Update Date | 04/04/2022 |
| Medicare PECOS PAC ID | 9638566565 |
|---|---|
| Medicare Enrollment ID | O20220425000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770232159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Javier A Diago Benjumea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740587211 PECOS PAC ID: 0244469237 Enrollment ID: I20140218000181 |
| Provider Name | Jana Garza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013209964 PECOS PAC ID: 5496046567 Enrollment ID: I20160621000265 |
| Provider Name | Nataly Adan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174126460 PECOS PAC ID: 7911377296 Enrollment ID: I20221230002473 |
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