| East Houston Primary Care, Pllc | |
|
155055 East Freeway Channelview TX 77530 | |
| (281) 452-4747 | |
| Not Available |
| Full Name | East Houston Primary Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 155055 East Freeway, Channelview, Texas |
| Authorized Official Name and Position | Matthew Robertson (VICE PRESIDENT OF PHYSICIAN SERVICE) |
| Authorized Official Contact | 7138521550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Houston Primary Care, Pllc 155055 East Freeway Channelview TX 77530 Ph: (281) 452-4747 | East Houston Primary Care, Pllc 155055 East Freeway Channelview TX 77530 Ph: (281) 452-4747 |
| NPI Number | 1215356985 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 04/10/2014 |
| Medicare PECOS PAC ID | 7315167574 |
|---|---|
| Medicare Enrollment ID | O20141010000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215356985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Donald R Nino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851384952 PECOS PAC ID: 9133118805 Enrollment ID: I20040507001185 |
| Provider Name | Melissa Aida Silva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013404896 PECOS PAC ID: 9739437344 Enrollment ID: I20210922000007 |
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