| Ella Family Medicine Pa | |
|
2951 Chimney Rock Rd C Houston TX 77056-5937 | |
| (713) 880-1950 | |
| (713) 880-4666 |
| Full Name | Ella Family Medicine Pa |
|---|---|
| Speciality | General Practice |
| Location | 2951 Chimney Rock Rd, Houston, Texas |
| Authorized Official Name and Position | Diemphuong Nina Pham (DOCTOR) |
| Authorized Official Contact | 7138801950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ella Family Medicine Pa 2951 Chimney Rock Rd C Houston TX 77056-5937 Ph: (713) 880-1950 | Ella Family Medicine Pa 2951 Chimney Rock Rd C Houston TX 77056-5937 Ph: (713) 880-1950 |
| NPI Number | 1194910653 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 10/22/2010 |
| Medicare PECOS PAC ID | 7416140579 |
|---|---|
| Medicare Enrollment ID | O20101021000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194910653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | K4773 (Texas) | Primary |
| Provider Name | Diemphuong D Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902986128 PECOS PAC ID: 4385837459 Enrollment ID: I20101027001528 |
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