| Mi Clinica Medica Bellaire, Pllc | |
|
5901 Bellaire Blvd Ste 104 Houston TX 77081-5515 | |
| (832) 638-5975 | |
| Not Available |
| Full Name | Mi Clinica Medica Bellaire, Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 5901 Bellaire Blvd Ste 104, Houston, Texas |
| Authorized Official Name and Position | Yaimara Gonzalez Pantoja (OWNER) |
| Authorized Official Contact | 8326385975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mi Clinica Medica Bellaire, Pllc 5901 Bellaire Blvd Ste 104 Houston TX 77081-5515 Ph: (832) 834-4688 | Mi Clinica Medica Bellaire, Pllc 5901 Bellaire Blvd Ste 104 Houston TX 77081-5515 Ph: (832) 638-5975 |
| NPI Number | 1023606779 |
|---|---|
| Provider Enumeration Date | 01/08/2021 |
| Last Update Date | 03/27/2023 |
| Medicare PECOS PAC ID | 6002223682 |
|---|---|
| Medicare Enrollment ID | O20210326000607 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023606779 | NPI | - | NPPES |
| Provider Name | Yaimara Gonzalez Pantoja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679062152 PECOS PAC ID: 9335556919 Enrollment ID: I20210326000817 |
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