| Kidz Plus Medical Clinic | |
|
9930 Cheeves Dr Houston TX 77016-3822 | |
| (832) 717-2780 | |
| (832) 717-2781 |
| Full Name | Kidz Plus Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 9930 Cheeves Dr, Houston, Texas |
| Authorized Official Name and Position | Lonzel Pickron (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8327172780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidz Plus Medical Clinic 9930 Cheeves Dr Houston TX 77016-3822 Ph: (832) 717-2780 | Kidz Plus Medical Clinic 9930 Cheeves Dr Houston TX 77016-3822 Ph: (832) 717-2780 |
| NPI Number | 1730691585 |
|---|---|
| Provider Enumeration Date | 11/02/2017 |
| Last Update Date | 11/02/2017 |
| Medicare PECOS PAC ID | 1850658154 |
|---|---|
| Medicare Enrollment ID | O20171121002544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730691585 | NPI | - | NPPES |
| AP126545 | Other | TX | TEXAS BOARD OF NURSING |
| AP126515 | Other | TX | TEXAS BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert L Thompson |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1346211083 PECOS PAC ID: 1153382734 Enrollment ID: I20041026001091 |
| Provider Name | Andrew B Malveaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265569073 PECOS PAC ID: 6709956550 Enrollment ID: I20080605000070 |
| Provider Name | Catherine Adebisi Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417599143 PECOS PAC ID: 9537582515 Enrollment ID: I20200709000920 |
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