| Houston Internal Medicine Specialists | |
|
7737 Beechnut St Suite 202 Houston TX 77074 | |
| (713) 773-2255 | |
| (713) 773-2277 |
| Full Name | Houston Internal Medicine Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 7737 Beechnut St, Houston, Texas |
| Authorized Official Name and Position | Johnson Agu (DOCTOR) |
| Authorized Official Contact | 7137732255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Internal Medicine Specialists 7737 Beechnut St Suite 202 Houston TX 77074 Ph: (713) 773-2255 | Houston Internal Medicine Specialists 7737 Beechnut St Suite 202 Houston TX 77074 Ph: (713) 773-2255 |
| NPI Number | 1609826569 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 09/10/2021 |
| Medicare PECOS PAC ID | 5890859516 |
|---|---|
| Medicare Enrollment ID | O20090126000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609826569 | NPI | - | NPPES |
| 152481101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K9007 (Texas) | Primary |
| Provider Name | Johnson Izuchukwu Agu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912957879 PECOS PAC ID: 4880600915 Enrollment ID: I20060228000132 |
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