| Houston Family Medicine & Pediatrics Pllc | |
|
10101 Bissonnet St Ste 105a Houston TX 77036-7856 | |
| (281) 595-9633 | |
| Not Available |
| Full Name | Houston Family Medicine & Pediatrics Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 10101 Bissonnet St Ste 105a, Houston, Texas |
| Authorized Official Name and Position | Dilawar Ajani (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8322878786 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Family Medicine & Pediatrics Pllc 10101 Bissonnet St Ste 105a Houston TX 77036-7856 Ph: (832) 287-8786 | Houston Family Medicine & Pediatrics Pllc 10101 Bissonnet St Ste 105a Houston TX 77036-7856 Ph: (281) 595-9633 |
| NPI Number | 1174133870 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 03/01/2022 |
| Medicare PECOS PAC ID | 1153732136 |
|---|---|
| Medicare Enrollment ID | O20201123002777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174133870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Dilawar Ajani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528047115 PECOS PAC ID: 6608843651 Enrollment ID: I20040922000679 |
| Provider Name | Caroline N Mbogua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942221148 PECOS PAC ID: 0840240453 Enrollment ID: I20050131000765 |
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