| Gerid Hiv Pllc | |
|
19255 Park Row Ste 106 Houston TX 77084-7310 | |
| (713) 965-6444 | |
| (281) 503-7700 |
| Full Name | Gerid Hiv Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19255 Park Row Ste 106, Houston, Texas |
| Authorized Official Name and Position | Roberto Andrade (OWNER) |
| Authorized Official Contact | 7139656444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gerid Hiv Pllc 19255 Park Row Ste 106 Houston TX 77084-7310 Ph: (713) 965-6444 | Gerid Hiv Pllc 19255 Park Row Ste 106 Houston TX 77084-7310 Ph: (713) 965-6444 |
| NPI Number | 1073094751 |
|---|---|
| Provider Enumeration Date | 08/22/2018 |
| Last Update Date | 08/22/2018 |
| Medicare PECOS PAC ID | 0446594725 |
|---|---|
| Medicare Enrollment ID | O20181128001755 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073094751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Roberto Andrade |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508946922 PECOS PAC ID: 2163324245 Enrollment ID: I20040121000512 |
| Provider Name | Jeannette Ouyang-latimer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1184877177 PECOS PAC ID: 0840337093 Enrollment ID: I20091021000404 |
| Provider Name | Janice John Koshy |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023336286 PECOS PAC ID: 3274849047 Enrollment ID: I20150825004848 |
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