| Everest Primary Care Md Pa | |
|
11626 T C Jester Blvd Suite 600 Houston TX 77067 | |
| (281) 747-9700 | |
| Not Available |
| Full Name | Everest Primary Care Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 11626 T C Jester Blvd, Houston, Texas |
| Authorized Official Name and Position | Roussel Clement (OWNER) |
| Authorized Official Contact | 2817479700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Everest Primary Care Md Pa 11626 T C Jester Blvd Suite 600 Houston TX 77067 Ph: () - | Everest Primary Care Md Pa 11626 T C Jester Blvd Suite 600 Houston TX 77067 Ph: (281) 747-9700 |
| NPI Number | 1669147401 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 10/06/2021 |
| Medicare PECOS PAC ID | 9234521501 |
|---|---|
| Medicare Enrollment ID | O20220118001731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669147401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Steve Thomas Gove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689679250 PECOS PAC ID: 7911958988 Enrollment ID: I20050207000920 |
| Provider Name | Rameshbhai G Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538203724 PECOS PAC ID: 8123159936 Enrollment ID: I20100624000813 |
| Provider Name | Carmisha S Kellum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386001295 PECOS PAC ID: 8022308675 Enrollment ID: I20160609001660 |
| Provider Name | Gloria O Oyekanmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730634189 PECOS PAC ID: 4789951377 Enrollment ID: I20170602000785 |
| Provider Name | Monique Kezia Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912406323 PECOS PAC ID: 1456684307 Enrollment ID: I20190607000276 |
| Provider Name | Mark Teague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205163383 PECOS PAC ID: 7113294349 Enrollment ID: I20190814002912 |
| Provider Name | Jinit J Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336529700 PECOS PAC ID: 7911202874 Enrollment ID: I20191106001822 |
| Provider Name | Huru Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831740091 PECOS PAC ID: 9436564226 Enrollment ID: I20210208001832 |
| Provider Name | Jeny K John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073019493 PECOS PAC ID: 5395154843 Enrollment ID: I20210513000111 |
| Provider Name | Zahra Malik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417520537 PECOS PAC ID: 4981008323 Enrollment ID: I20210809000210 |
| Provider Name | Yasmin Jawer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992336580 PECOS PAC ID: 7416352166 Enrollment ID: I20210819000088 |
| Provider Name | Reva Mannette Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316601115 PECOS PAC ID: 0749677912 Enrollment ID: I20220419000993 |
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