| Medicorp, P.a. | |
|
1315 St Joseph Pkwy Suite 1309 Houston TX 77002 | |
| (832) 366-1305 | |
| Not Available |
| Full Name | Medicorp, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1315 St Joseph Pkwy, Houston, Texas |
| Authorized Official Name and Position | Fanny Elena Ramirez (PRESIDENT) |
| Authorized Official Contact | 8323661305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicorp, P.a. Po Box 2812 Bellaire TX 77402 Ph: (832) 366-1305 | Medicorp, P.a. 1315 St Joseph Pkwy Suite 1309 Houston TX 77002 Ph: (832) 366-1305 |
| NPI Number | 1154416253 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 02/12/2009 |
| Medicare PECOS PAC ID | 2466355185 |
|---|---|
| Medicare Enrollment ID | O20040129001248 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154416253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ana M Vidal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124187570 PECOS PAC ID: 5890765291 Enrollment ID: I20040730000878 |
| Provider Name | Joel S Kneitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356327498 PECOS PAC ID: 8224004155 Enrollment ID: I20040902000642 |
| Provider Name | Mark Alquiza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578561338 PECOS PAC ID: 2567426745 Enrollment ID: I20041117000463 |
| Provider Name | Fanny E Ramirez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881796076 PECOS PAC ID: 3274436993 Enrollment ID: I20050228000200 |
| Provider Name | Raul A Sanchez-ramos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427048933 PECOS PAC ID: 0345262754 Enrollment ID: I20070414000049 |
| Provider Name | Michael J Colton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558388009 PECOS PAC ID: 6305922600 Enrollment ID: I20080327000117 |
| Provider Name | Miriam Ramos-leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164699419 PECOS PAC ID: 4789752916 Enrollment ID: I20081001000384 |
| Provider Name | Braulio Antonio Alvarez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407865579 PECOS PAC ID: 4385702455 Enrollment ID: I20081017000523 |
| Provider Name | William Z Cohen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1689642142 PECOS PAC ID: 2264567767 Enrollment ID: I20100323000727 |
| Provider Name | Stanley J Zimmerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588675870 PECOS PAC ID: 5294861829 Enrollment ID: I20100414000722 |
| Provider Name | Carlos Reynaldo Herrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003858143 PECOS PAC ID: 4880721687 Enrollment ID: I20100428000113 |
| Provider Name | Saul Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952573776 PECOS PAC ID: 7416089636 Enrollment ID: I20100722000844 |
| Provider Name | Jose W Aguirre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205086311 PECOS PAC ID: 6305024241 Enrollment ID: I20110624000247 |
| Provider Name | Lydia Navarro Roman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003889635 PECOS PAC ID: 8224205679 Enrollment ID: I20120125000718 |
| Provider Name | Rafael E Valenzuela |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063420396 PECOS PAC ID: 4385864214 Enrollment ID: I20140927000417 |
| Provider Name | Nelly Elena Tellez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598135824 PECOS PAC ID: 0941519342 Enrollment ID: I20151027000089 |
| Provider Name | Katrina S Chea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831561158 PECOS PAC ID: 5496054223 Enrollment ID: I20160429000828 |
| Provider Name | Keydy Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972950384 PECOS PAC ID: 1759671753 Enrollment ID: I20160603000369 |
| Provider Name | Hernan A Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659623825 PECOS PAC ID: 8527212794 Enrollment ID: I20160607001432 |
| Provider Name | Adriana O Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558579664 PECOS PAC ID: 2365725496 Enrollment ID: I20170215000235 |
| Provider Name | Adriana Isaza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467876664 PECOS PAC ID: 1850664756 Enrollment ID: I20170828004393 |
| Provider Name | Shurron Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194241711 PECOS PAC ID: 4183999758 Enrollment ID: I20171006001979 |
| Provider Name | Juan C Roa Mendez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770877029 PECOS PAC ID: 7416191507 Enrollment ID: I20171010001818 |
| Provider Name | Nonye Chioma Onuogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841721107 PECOS PAC ID: 3274571609 Enrollment ID: I20180301001793 |
| Provider Name | Yanira Bautista |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487045605 PECOS PAC ID: 1759679889 Enrollment ID: I20180427000107 |
| Provider Name | Miriam Renteria |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578945911 PECOS PAC ID: 6709181118 Enrollment ID: I20190423001193 |
| Provider Name | Aji Sherry Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639644479 PECOS PAC ID: 5092058404 Enrollment ID: I20190528000446 |
| Provider Name | Ivy A Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295388510 PECOS PAC ID: 2668702374 Enrollment ID: I20190923003411 |
| Provider Name | Cesar Rafael Arjona Carrillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417310210 PECOS PAC ID: 5496092660 Enrollment ID: I20190927000789 |
| Provider Name | Sheila Esparza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316502073 PECOS PAC ID: 2365773298 Enrollment ID: I20191008001666 |
| Provider Name | Alida Chacon Padilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588210298 PECOS PAC ID: 6002245503 Enrollment ID: I20200404000125 |
| Provider Name | Kathleen A Berger |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427371764 PECOS PAC ID: 8022362623 Enrollment ID: I20201015002618 |
| Provider Name | Flor Kneitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922565209 PECOS PAC ID: 5991115503 Enrollment ID: I20201111001216 |
| Provider Name | Luwei Tao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639601966 PECOS PAC ID: 7911268495 Enrollment ID: I20210907001916 |
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