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6613 S Braeswood Blvd Houston TX 77096-3611 | |
| (713) 491-4787 | |
| (844) 438-9953 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 6613 S Braeswood Blvd, Houston, Texas |
| Authorized Official Name and Position | Natasha Bhuyan (NATIONAL MEDICAL DIRECTOR) |
| Authorized Official Contact | 4158140927 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1 Embarcadero Ctr Fl 19 San Francisco CA 94111-3628 Ph: () - | 6613 S Braeswood Blvd Houston TX 77096-3611 Ph: (713) 491-4787 |
| NPI Number | 1114586708 |
|---|---|
| Provider Enumeration Date | 06/07/2019 |
| Last Update Date | 09/05/2023 |
| Medicare PECOS PAC ID | 2668702465 |
|---|---|
| Medicare Enrollment ID | O20190920002111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114586708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jairo L Bermudez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578550919 PECOS PAC ID: 1850367137 Enrollment ID: I20040908000741 |
| Provider Name | Grace M Varas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295958627 PECOS PAC ID: 5890879217 Enrollment ID: I20080225000340 |
| Provider Name | Lindsay K Botsford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780849737 PECOS PAC ID: 0143354191 Enrollment ID: I20100812001155 |
| Provider Name | Saori Schmal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912342114 PECOS PAC ID: 9931341898 Enrollment ID: I20130806000734 |
| Provider Name | Brittany Janelle Mondlak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346523859 PECOS PAC ID: 8527225812 Enrollment ID: I20160720001101 |
| Provider Name | Tam Ekpeti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699021709 PECOS PAC ID: 8224325444 Enrollment ID: I20160930002056 |
| Provider Name | Sree Latha Yakkala Ramphul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821436403 PECOS PAC ID: 4688943715 Enrollment ID: I20170706000327 |
| Provider Name | Shanea P Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689116907 PECOS PAC ID: 7416382742 Enrollment ID: I20200115000743 |
| Provider Name | Jorie Geiger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710519236 PECOS PAC ID: 7810307212 Enrollment ID: I20201112002695 |
| Provider Name | Jasjit Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932589421 PECOS PAC ID: 1557678448 Enrollment ID: I20210805000718 |
| Provider Name | Oluwakemi Osholake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174044796 PECOS PAC ID: 9335411586 Enrollment ID: I20220310001588 |
| Provider Name | Sheila Miriam Antony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083989339 PECOS PAC ID: 7810281003 Enrollment ID: I20220510001321 |
| Provider Name | Jeffrey Wessler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891053625 PECOS PAC ID: 6406169382 Enrollment ID: I20220621000055 |
| Provider Name | Jana Goldberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477873768 PECOS PAC ID: 5799075933 Enrollment ID: I20221109001158 |
| Provider Name | Lawanda Martindale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346699188 PECOS PAC ID: 3072809623 Enrollment ID: I20230215000945 |
| Provider Name | Jonathan Allen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922186402 PECOS PAC ID: 4284734518 Enrollment ID: I20230314003252 |
| Provider Name | Pei-chun Mcgregor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023231073 PECOS PAC ID: 5890919906 Enrollment ID: I20230315002438 |
| Provider Name | Angela Poppe Ries |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346458197 PECOS PAC ID: 6608961081 Enrollment ID: I20231118000183 |
| Provider Name | Halary Patch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255631248 PECOS PAC ID: 0840461018 Enrollment ID: I20240115001379 |
| Provider Name | Ambreen Mohamed |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437443637 PECOS PAC ID: 4183944788 Enrollment ID: I20240116001523 |
| Provider Name | Angela Ro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962732271 PECOS PAC ID: 6406026608 Enrollment ID: I20240206005013 |
| Provider Name | Mary Grace Nuega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407342603 PECOS PAC ID: 2466798418 Enrollment ID: I20240423002694 |
| Provider Name | Syed Abbas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821267477 PECOS PAC ID: 3779753504 Enrollment ID: I20240621001010 |
| Provider Name | Alexis Atwater |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922328830 PECOS PAC ID: 9537303854 Enrollment ID: I20240723002010 |
| Provider Name | Christina Kang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417197161 PECOS PAC ID: 0143454264 Enrollment ID: I20241008000135 |
| Provider Name | Jennifer Hubbard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144632647 PECOS PAC ID: 4284915976 Enrollment ID: I20241107000456 |
| Provider Name | Leah Coburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962978957 PECOS PAC ID: 5991049397 Enrollment ID: I20241107000988 |
| Provider Name | Michael Medrano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386382372 PECOS PAC ID: 7214318823 Enrollment ID: I20241112001618 |
| Provider Name | Ernesto Reza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891239257 PECOS PAC ID: 0143658245 Enrollment ID: I20241113002403 |
| Provider Name | Roshini Malaney |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134418783 PECOS PAC ID: 2264759380 Enrollment ID: I20241204003512 |
| Provider Name | Oluwapamilerin Olubukola Ogun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851119481 PECOS PAC ID: 1456887660 Enrollment ID: I20241211003597 |
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