| Medcomplete Llc | |
|
25118 Lakeview Rd Katy TX 77494-5509 | |
| (832) 838-4031 | |
| (832) 838-4032 |
| Full Name | Medcomplete Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 25118 Lakeview Rd, Katy, Texas |
| Authorized Official Name and Position | Mariama Sahor (NURSE PRACTITIONER) |
| Authorized Official Contact | 8328384031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcomplete Llc 26717 Westheimer Pkwy Ste 103 Katy TX 77494-5374 Ph: (832) 838-4031 | Medcomplete Llc 25118 Lakeview Rd Katy TX 77494-5509 Ph: (832) 838-4031 |
| NPI Number | 1790221505 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 08/17/2022 |
| Medicare PECOS PAC ID | 0749566180 |
|---|---|
| Medicare Enrollment ID | O20170419000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790221505 | NPI | - | NPPES |
| 364SX0200X | Other | TX | TAXONOMY |
| AP123663 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | AP123663 (Texas) | Primary |
| Provider Name | Mariama Sahor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407137672 PECOS PAC ID: 3678748472 Enrollment ID: I20150904001063 |
| Provider Name | Chinaza Ukaegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861978843 PECOS PAC ID: 1052725025 Enrollment ID: I20230322002144 |
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