| Ella Hospitalist Pa | |
|
2607 Gallion Dr Sugar Land TX 77479-1967 | |
| (281) 221-1010 | |
| Not Available |
| Full Name | Ella Hospitalist Pa |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2607 Gallion Dr, Sugar Land, Texas |
| Authorized Official Name and Position | Bonnie Van De Water (ACCOUNT MANAGER) |
| Authorized Official Contact | 6025694740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ella Hospitalist Pa 2607 Gallion Dr Sugar Land TX 77479-1967 Ph: (281) 221-1010 | Ella Hospitalist Pa 2607 Gallion Dr Sugar Land TX 77479-1967 Ph: (281) 221-1010 |
| NPI Number | 1811322126 |
|---|---|
| Provider Enumeration Date | 09/05/2013 |
| Last Update Date | 04/22/2024 |
| Medicare PECOS PAC ID | 2668607268 |
|---|---|
| Medicare Enrollment ID | O20131107001285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811322126 | NPI | - | NPPES |
| 1811322126 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | N 3875 (Texas) | Primary |
| Provider Name | Vidya Mathivanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508069659 PECOS PAC ID: 6507903598 Enrollment ID: I20091023000320 |
Gulf Coast Diagnostic Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17510 W Grand Pkwy S Ste 180, Sugar Land, TX 77479 Phone: 832-973-1625 | |
Doctors Who Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Monarch Trl, Sugar Land, TX 77498 Phone: 973-715-1448 | |
Fort Bend Geriatrics, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15200 Southwest Fwy, Suite 180, Sugar Land, TX 77478 Phone: 281-491-6767 Fax: 281-491-6768 | |
Shifa Healthcare & Community Services Usa Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10415 Synott Rd Bldg D, Sugar Land, TX 77498 Phone: 281-561-5767 Fax: 281-561-5759 | |
Villa Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14833 Southwest Fwy, Sugar Land, TX 77478 Phone: 281-207-8858 | |
Simcare, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2225 Williams Trace Blvd Ste 110, Sugar Land, TX 77478 Phone: 281-491-1911 | |
Key Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4645 Highway 6, Suite H, Sugar Land, TX 77478 Phone: 281-242-6889 Fax: 281-884-6071 |