| Geriatric & Palliative Care Associates,pa | |
|
150 Pine Forest Dr Suite 110 Shenandoah TX 77384-5302 | |
| (281) 709-2555 | |
| (281) 440-9915 |
| Full Name | Geriatric & Palliative Care Associates,pa |
|---|---|
| Speciality | Family Medicine |
| Location | 150 Pine Forest Dr, Shenandoah, Texas |
| Authorized Official Name and Position | Bharat Latthe (OWNER) |
| Authorized Official Contact | 3463058313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric & Palliative Care Associates,pa 150 Pine Forest Dr Ste 110 Shenandoah TX 77384-5303 Ph: (281) 709-2555 | Geriatric & Palliative Care Associates,pa 150 Pine Forest Dr Suite 110 Shenandoah TX 77384-5302 Ph: (281) 709-2555 |
| NPI Number | 1770038549 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 10/30/2019 |
| Medicare PECOS PAC ID | 8628366135 |
|---|---|
| Medicare Enrollment ID | O20161017002450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770038549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Karin E Olson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164548129 PECOS PAC ID: 5799745253 Enrollment ID: I20041021000677 |
| Provider Name | Gloria E Willoughby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831143627 PECOS PAC ID: 3375550593 Enrollment ID: I20060314000185 |
| Provider Name | Bharat Latthe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922050186 PECOS PAC ID: 4587622196 Enrollment ID: I20060530000133 |
| Provider Name | Avanti L Gandhi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194010512 PECOS PAC ID: 9537384391 Enrollment ID: I20160310002013 |
| Provider Name | Raquel Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396305843 PECOS PAC ID: 8123356938 Enrollment ID: I20190817000221 |
| Provider Name | Page A Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578198701 PECOS PAC ID: 1355770850 Enrollment ID: I20200404000193 |
| Provider Name | Destoni Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023513694 PECOS PAC ID: 8325499619 Enrollment ID: I20240111000965 |
| Provider Name | Shanna Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770336687 PECOS PAC ID: 4981046505 Enrollment ID: I20240529000910 |
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