Fulshear Family Medicine | |
7629 Tiki Dr Fulshear TX 77441-1548 | |
(281) 346-0018 | |
(281) 346-0913 |
Full Name | Fulshear Family Medicine |
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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 |
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Fulshear Family Medicine 600 Jefferson St Ste 404 Lafayette LA 70501-6991 Ph: (281) 346-0018 | Fulshear Family Medicine 7629 Tiki Dr Fulshear TX 77441-1548 Ph: (281) 346-0018 |
NPI Number | 1659309441 |
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Provider Enumeration Date | 06/29/2006 |
Last Update Date | 02/18/2022 |
Medicare PECOS PAC ID | 8224047824 |
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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 |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790773042 PECOS PAC ID: 4284525981 Enrollment ID: I20040323000258 |
Provider Name | Heidi A Schultz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275506719 PECOS PAC ID: 7911947429 Enrollment ID: I20050504000478 |
Provider Name | Mary A Santiago |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528097268 PECOS PAC ID: 7416910583 Enrollment ID: I20100305000317 |
Provider Name | Jarmara Laurette Darcey |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1063649838 PECOS PAC ID: 1759524648 Enrollment ID: I20130824000117 |
Provider Name | Abigail Marie Laney |
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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 |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891150314 PECOS PAC ID: 7911298740 Enrollment ID: I20160624001037 |
Provider Name | Prativa N Bhandari |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619445210 PECOS PAC ID: 0840673885 Enrollment ID: I20220824000095 |
Jw Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6230 Fm 1463, Suite 800, Fulshear, TX 77441 Phone: 281-630-8585 | |
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 |