| Macie Medical | |
|
777 S Fry Rd Ste 206 Katy TX 77450-2297 | |
| (713) 300-3905 | |
| (713) 561-3890 |
| Full Name | Macie Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 777 S Fry Rd Ste 206, Katy, Texas |
| Authorized Official Name and Position | Judith Aniekwena (PHYSICIAN) |
| Authorized Official Contact | 7133003905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Macie Medical 777 S Fry Rd Ste 206 Katy TX 77450-2297 Ph: (713) 300-3905 | Macie Medical 777 S Fry Rd Ste 206 Katy TX 77450-2297 Ph: (713) 300-3905 |
| NPI Number | 1093452229 |
|---|---|
| Provider Enumeration Date | 05/18/2022 |
| Last Update Date | 08/23/2024 |
| Medicare PECOS PAC ID | 4688059694 |
|---|---|
| Medicare Enrollment ID | O20220912002281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093452229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Judith Aniekwena |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164954640 PECOS PAC ID: 4688097637 Enrollment ID: I20200708003860 |
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