| Health Bay Clinic And Wellness | |
|
11420 Dairy Ashford Rd Ste 104 Sugar Land TX 77478-6215 | |
| (913) 742-3745 | |
| Not Available |
| Full Name | Health Bay Clinic And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 11420 Dairy Ashford Rd Ste 104, Sugar Land, Texas |
| Authorized Official Name and Position | Joseph Peter Isibor (PROVIDER) |
| Authorized Official Contact | 9137423745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Bay Clinic And Wellness 4204 Stonebridge Dr Missouri City TX 77459-3264 Ph: () - | Health Bay Clinic And Wellness 11420 Dairy Ashford Rd Ste 104 Sugar Land TX 77478-6215 Ph: (913) 742-3745 |
| NPI Number | 1326716069 |
|---|---|
| Provider Enumeration Date | 08/30/2021 |
| Last Update Date | 08/30/2021 |
| Medicare PECOS PAC ID | 7719384833 |
|---|---|
| Medicare Enrollment ID | O20210916000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326716069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Joseph Peter Isibor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376108365 PECOS PAC ID: 8628475746 Enrollment ID: I20210916000557 |
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