Infectious Diseases Consultants Of Northwest Houston Pllc | |
13656 Breton Ridge St Houston TX 77070-6081 | |
(713) 464-7555 | |
(832) 308-1272 |
Full Name | Infectious Diseases Consultants Of Northwest Houston Pllc |
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Speciality | Internal Medicine |
Location | 13656 Breton Ridge St, Houston, Texas |
Authorized Official Name and Position | Stephanie B Pankow (PROVIDER) |
Authorized Official Contact | 7137758914 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Infectious Diseases Consultants Of Northwest Houston Pllc 10703 Winding Arbor Ct Cypress TX 77433-7136 Ph: (713) 775-8914 | Infectious Diseases Consultants Of Northwest Houston Pllc 13656 Breton Ridge St Houston TX 77070-6081 Ph: (713) 464-7555 |
NPI Number | 1558000836 |
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Provider Enumeration Date | 06/03/2022 |
Last Update Date | 10/21/2022 |
Medicare PECOS PAC ID | 4486039104 |
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Medicare Enrollment ID | O20220916000985 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558000836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Stephanie Pankow |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1437531126 PECOS PAC ID: 6507170438 Enrollment ID: I20200916003307 |
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