| Longpoint Medical Center | |
|
9504 Long Point Rd Ste E Houston TX 77055-4226 | |
| (713) 893-6214 | |
| (713) 461-3518 |
| Full Name | Longpoint Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 9504 Long Point Rd Ste E, Houston, Texas |
| Authorized Official Name and Position | Abdur Rauf (OWNER) |
| Authorized Official Contact | 7138936214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longpoint Medical Center 9504 Long Point Rd Ste E Houston TX 77055-4226 Ph: (713) 461-3535 | Longpoint Medical Center 9504 Long Point Rd Ste E Houston TX 77055-4226 Ph: (713) 893-6214 |
| NPI Number | 1770763815 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 07/18/2022 |
| Medicare PECOS PAC ID | 8820027147 |
|---|---|
| Medicare Enrollment ID | O20050808000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770763815 | NPI | - | NPPES |
| 080572302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L2584 (Texas) | Primary |
| Provider Name | Abdur Rauf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497726202 PECOS PAC ID: 8325016959 Enrollment ID: I20040922000160 |
| Provider Name | Ani Stephen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588959118 PECOS PAC ID: 9133389711 Enrollment ID: I20150116001697 |
| Provider Name | Odette T Kourouma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134525868 PECOS PAC ID: 3577868611 Enrollment ID: I20160226001214 |
| Provider Name | Odalis Lizeth Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245742758 PECOS PAC ID: 6103174982 Enrollment ID: I20180810000951 |
| Provider Name | Glory Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194206490 PECOS PAC ID: 1254678998 Enrollment ID: I20190204000499 |
| Provider Name | Nubia Benavides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801371935 PECOS PAC ID: 9335488808 Enrollment ID: I20190227001540 |
| Provider Name | Jeemol George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497219067 PECOS PAC ID: 1658605035 Enrollment ID: I20190619002457 |
| Provider Name | Reshma Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922652726 PECOS PAC ID: 1153653589 Enrollment ID: I20191104002172 |
| Provider Name | Larry D Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033769765 PECOS PAC ID: 0345672192 Enrollment ID: I20191115000996 |
| Provider Name | Limy Fernandus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972005189 PECOS PAC ID: 8820424070 Enrollment ID: I20200206000401 |
| Provider Name | Vibitha Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952931560 PECOS PAC ID: 3476980665 Enrollment ID: I20200228000277 |
| Provider Name | Brittany Np Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275163537 PECOS PAC ID: 4880022532 Enrollment ID: I20200312000681 |
| Provider Name | Joy Iyoriobhe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114584885 PECOS PAC ID: 0941638415 Enrollment ID: I20200316001513 |
| Provider Name | Mini Philip Chennemkara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841755956 PECOS PAC ID: 0941638027 Enrollment ID: I20200324001774 |
| Provider Name | Cini Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134777238 PECOS PAC ID: 5991133969 Enrollment ID: I20200325002872 |
| Provider Name | Julie Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447883061 PECOS PAC ID: 3577992130 Enrollment ID: I20200401003611 |
| Provider Name | Shelna Sibi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548570328 PECOS PAC ID: 6305234071 Enrollment ID: I20211105002180 |
| Provider Name | Jelsa Antu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669128500 PECOS PAC ID: 9133507924 Enrollment ID: I20220607002192 |
| Provider Name | Notasha I Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710511159 PECOS PAC ID: 4183002611 Enrollment ID: I20220611000164 |
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