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7629 Tiki Dr Fulshear TX 77441-1548 | |
| (281) 346-0018 | |
| (281) 346-0913 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 7629 Tiki Dr, Fulshear, Texas |
| Authorized Official Name and Position | Anisha Waxali (OWNER) |
| Authorized Official Contact | 2813460018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
600 Jefferson St Ste 404 Lafayette LA 70501-6991 Ph: (281) 346-0018 | 7629 Tiki Dr Fulshear TX 77441-1548 Ph: (281) 346-0018 |
| NPI Number | 1659309441 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 02/18/2022 |
| Medicare PECOS PAC ID | 8224047824 |
|---|---|
| Medicare Enrollment ID | O20060410000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659309441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Anisha Waxali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790773042 PECOS PAC ID: 4284525981 Enrollment ID: I20040323000258 |
| Provider Name | Heidi A Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275506719 PECOS PAC ID: 7911947429 Enrollment ID: I20050504000478 |
| Provider Name | Mary A Santiago |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528097268 PECOS PAC ID: 7416910583 Enrollment ID: I20100305000317 |
| Provider Name | Abigail Marie Laney |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457760480 PECOS PAC ID: 1254552888 Enrollment ID: I20141024000936 |
| Provider Name | Mary K Armitage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891150314 PECOS PAC ID: 7911298740 Enrollment ID: I20160624001037 |
| Provider Name | Adeel Zafar Qureshi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043730815 PECOS PAC ID: 9436531100 Enrollment ID: I20220728001099 |
| Provider Name | Prativa N Bhandari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619445210 PECOS PAC ID: 0840673885 Enrollment ID: I20220824000095 |
| Provider Name | Patrick Brumfield Coate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669036729 PECOS PAC ID: 3577899889 Enrollment ID: I20220831003382 |
Katy Cypress Physicians Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27718 Rocky Creek Ct, Fulshear, TX 77441 Phone: 281-346-8623 Fax: 567-206-3860 |