| Makarios Hospitalist Group Pllc | |
|
21720 Kingsland Blvd Katy TX 77450-2550 | |
| (877) 704-8700 | |
| Not Available |
| Full Name | Makarios Hospitalist Group Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 21720 Kingsland Blvd, Katy, Texas |
| Authorized Official Name and Position | Basti J. Thampoe (PRESIDENT/OWNER) |
| Authorized Official Contact | 8323214962 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Makarios Hospitalist Group Pllc 21238 Kingsland Blvd Katy TX 77450-5898 Ph: (832) 321-4962 | Makarios Hospitalist Group Pllc 21720 Kingsland Blvd Katy TX 77450-2550 Ph: (877) 704-8700 |
| NPI Number | 1336522556 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Medicare PECOS PAC ID | 2466768791 |
|---|---|
| Medicare Enrollment ID | O20150902000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336522556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Basti J Thampoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063421303 PECOS PAC ID: 7911957758 Enrollment ID: I20050128000466 |
| Provider Name | Thai Hoang Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699033076 PECOS PAC ID: 8022324292 Enrollment ID: I20150902001725 |
| Provider Name | Daniel V Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982967923 PECOS PAC ID: 1658500970 Enrollment ID: I20150904000289 |
| Provider Name | Joseph Do Jabbour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013303601 PECOS PAC ID: 2466702394 Enrollment ID: I20181106003072 |
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