| Humble Family Practice, Pllc | |
|
18652 Mckay Dr Suite 100 Humble TX 77338-5716 | |
| (281) 446-1520 | |
| (281) 446-0838 |
| Full Name | Humble Family Practice, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 18652 Mckay Dr, Humble, Texas |
| Authorized Official Name and Position | Ashley Cain (CRED MANAGER) |
| Authorized Official Contact | 2814461520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Humble Family Practice, Pllc 18652 Mckay Dr Ste 100 Humble TX 77338-5716 Ph: (281) 446-1520 | Humble Family Practice, Pllc 18652 Mckay Dr Suite 100 Humble TX 77338-5716 Ph: (281) 446-1520 |
| NPI Number | 1992255939 |
|---|---|
| Provider Enumeration Date | 10/13/2016 |
| Last Update Date | 11/27/2018 |
| Medicare PECOS PAC ID | 5496035644 |
|---|---|
| Medicare Enrollment ID | O20161206001562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992255939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | David G Carpenter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225130743 PECOS PAC ID: 9638160799 Enrollment ID: I20040519000546 |
| Provider Name | Huong Quynh Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942293121 PECOS PAC ID: 2961485552 Enrollment ID: I20040613000005 |
| Provider Name | Michael W Morris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114980430 PECOS PAC ID: 4385788165 Enrollment ID: I20100217000297 |
| Provider Name | Robert L Wren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508295460 PECOS PAC ID: 1456583749 Enrollment ID: I20140421001821 |
| Provider Name | Wilmer Valentin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1174960967 PECOS PAC ID: 5496044414 Enrollment ID: I20160516000284 |
| Provider Name | Khaula Raza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982139242 PECOS PAC ID: 6002173879 Enrollment ID: I20171204000461 |
| Provider Name | Surendra Raythatha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407054026 PECOS PAC ID: 6800799032 Enrollment ID: I20210607000190 |
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