| Ike Eni, M.d., P.a. | |
|
9319 Pinecroft Dr Ste 120 The Woodlands TX 77380-3485 | |
| (936) 321-1946 | |
| (936) 321-8271 |
| Full Name | Ike Eni, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9319 Pinecroft Dr Ste 120, The Woodlands, Texas |
| Authorized Official Name and Position | Ike U Eni (OWNER PHYSICIAN) |
| Authorized Official Contact | 9363211946 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ike Eni, M.d., P.a. 9319 Pinecroft Dr Ste 120 The Woodlands TX 77380-3485 Ph: (936) 321-1946 | Ike Eni, M.d., P.a. 9319 Pinecroft Dr Ste 120 The Woodlands TX 77380-3485 Ph: (936) 321-1946 |
| NPI Number | 1043415656 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 07/20/2022 |
| Medicare PECOS PAC ID | 7810919271 |
|---|---|
| Medicare Enrollment ID | O20051228000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043415656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K6843 (Texas) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ikedinobi U Eni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629039938 PECOS PAC ID: 7517989973 Enrollment ID: I20100928001175 |
| Provider Name | Heather E.k. Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598153868 PECOS PAC ID: 7719298132 Enrollment ID: I20181012000365 |
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