Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 3133 Saba Ln, Port Neches, Texas |
Authorized Official Name and Position | Michael G Keller (PRESIDENT) |
Authorized Official Contact | 4099627606 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5502 39th St Ste 105 Groves TX 77619 Ph: (409) 962-7606 | 3133 Saba Ln Port Neches TX 77651 Ph: (409) 962-7606 |
NPI Number | 1134286917 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 05/31/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134286917 | NPI | - | NPPES |
093658503 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | F1700 (Texas) | Primary |
Vijesh K. Patel. M.d., Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 876 Magnolia Ave, Port Neches, TX 77651 Phone: 409-729-3787 Fax: 409-722-8660 | |
Charles M Franz, D. O. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 876 Magnolia Ave, Port Neches, TX 77651 Phone: 409-727-4080 Fax: 409-727-3838 | |
Houston G. Hamby, M. D. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2645 Nall St, Port Neches, TX 77651 Phone: 409-729-3393 | |
Sonali Vijesh Patel Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 876 Magnolia Ave, Port Neches, TX 77651 Phone: 409-729-3787 |