| Family Medicine Mmc Pa | |
|
6750 E Sam Houston Pkwy N Ste 100 Houston TX 77049-4041 | |
| (281) 452-2299 | |
| (281) 452-2298 |
| Full Name | Family Medicine Mmc Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6750 E Sam Houston Pkwy N, Houston, Texas |
| Authorized Official Name and Position | Maria Mejia (PRESIDENT) |
| Authorized Official Contact | 2814522299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Mmc Pa 6750 E Sam Houston Pkwy N Ste 100 Houston TX 77049-4041 Ph: (281) 452-2299 | Family Medicine Mmc Pa 6750 E Sam Houston Pkwy N Ste 100 Houston TX 77049-4041 Ph: (281) 452-2299 |
| NPI Number | 1801131099 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 10/30/2024 |
| Medicare PECOS PAC ID | 3577702521 |
|---|---|
| Medicare Enrollment ID | O20130624000223 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801131099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose A Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194984781 PECOS PAC ID: 9133391972 Enrollment ID: I20111020000394 |
| Provider Name | Maria Alexandra Mejia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992932461 PECOS PAC ID: 4486893435 Enrollment ID: I20130624000266 |
| Provider Name | Tanya Salinas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780245654 PECOS PAC ID: 9032521125 Enrollment ID: I20201215000002 |
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