Memorial Hermann Physicians | |
10125 Katy Fwy Ste 106 Houston TX 77024-1287 | |
(713) 242-4429 | |
Not Available |
Full Name | Memorial Hermann Physicians |
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Speciality | General Practice |
Location | 10125 Katy Fwy Ste 106, Houston, Texas |
Authorized Official Name and Position | James J. Mccarty (EVP, PHYSICIAN ENTERPRISE) |
Authorized Official Contact | 7132422712 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Memorial Hermann Physicians 10125 Katy Fwy Ste 106 Houston TX 77024-1287 Ph: (713) 242-4429 | Memorial Hermann Physicians 10125 Katy Fwy Ste 106 Houston TX 77024-1287 Ph: (713) 242-4429 |
NPI Number | 1841855509 |
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Provider Enumeration Date | 05/07/2019 |
Last Update Date | 07/01/2019 |
Medicare PECOS PAC ID | 8426387846 |
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Medicare Enrollment ID | O20190911000192 |
Identifier | Type | State | Issuer |
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1841855509 | NPI | - | NPPES |
NONE | Other | NONE |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | John A Primomo |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1437264728 PECOS PAC ID: 0749336998 Enrollment ID: I20090914000376 |
Provider Name | Tanyaradzwa Miriam Kajese |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1043538937 PECOS PAC ID: 4688820046 Enrollment ID: I20150622001653 |
Provider Name | Victoria Chang |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1760827752 PECOS PAC ID: 7214289016 Enrollment ID: I20181005000853 |
Provider Name | Morgan Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578047346 PECOS PAC ID: 8022350586 Enrollment ID: I20190502001075 |
Provider Name | Eric Duffy |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1376956045 PECOS PAC ID: 9436497898 Enrollment ID: I20190912002229 |
Provider Name | Eric Kessler Rachlin |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1639556566 PECOS PAC ID: 1951725621 Enrollment ID: I20200728002130 |
Provider Name | Kelly Nathan Shortridge |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1558728196 PECOS PAC ID: 6800291196 Enrollment ID: I20210825001213 |
Provider Name | Kalyn True |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1346025137 PECOS PAC ID: 7012368020 Enrollment ID: I20240103004261 |
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