| Clinica San Felipe | |
|
7218 Harrisburg Blvd Houston TX 77011-4737 | |
| (713) 234-1518 | |
| Not Available |
| Full Name | Clinica San Felipe |
|---|---|
| Speciality | Clinic/Center |
| Location | 7218 Harrisburg Blvd, Houston, Texas |
| Authorized Official Name and Position | Jose Flores (DIRECTOR) |
| Authorized Official Contact | 8325389188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica San Felipe 7218 Harrisburg Blvd Houston TX 77011-4737 Ph: (832) 538-9188 | Clinica San Felipe 7218 Harrisburg Blvd Houston TX 77011-4737 Ph: (713) 234-1518 |
| NPI Number | 1972931020 |
|---|---|
| Provider Enumeration Date | 10/29/2013 |
| Last Update Date | 07/27/2022 |
| Medicare PECOS PAC ID | 3173752482 |
|---|---|
| Medicare Enrollment ID | O20140208000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972931020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | P1754 (Texas) | Primary |
| Provider Name | Bertram L Prosser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265745913 PECOS PAC ID: 8224262936 Enrollment ID: I20131014000222 |
| Provider Name | Jose Flores |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184997876 PECOS PAC ID: 6709015019 Enrollment ID: I20140208000107 |
| Provider Name | Tewodros W Teketel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386070159 PECOS PAC ID: 6103045125 Enrollment ID: I20170109002747 |
| Provider Name | Peter Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538547427 PECOS PAC ID: 9032477781 Enrollment ID: I20171229001664 |
| Provider Name | Victoria Forsberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255831210 PECOS PAC ID: 9830452242 Enrollment ID: I20180418000794 |
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