Michael Esantsi Md Pa | |
18220 State Highway 249 Suite 350 Houston TX 77070-4347 | |
(281) 477-3393 | |
(281) 477-3477 |
Full Name | Michael Esantsi Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 18220 State Highway 249, Houston, Texas |
Authorized Official Name and Position | Michael Esantsi (PRESIDENT) |
Authorized Official Contact | 2814773393 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Michael Esantsi Md Pa Po Box 690362 Houston TX 77269-0362 Ph: (281) 477-3393 | Michael Esantsi Md Pa 18220 State Highway 249 Suite 350 Houston TX 77070-4347 Ph: (281) 477-3393 |
NPI Number | 1134303183 |
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Provider Enumeration Date | 12/27/2007 |
Last Update Date | 04/20/2008 |
Medicare PECOS PAC ID | 3072783760 |
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Medicare Enrollment ID | O20110908001612 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134303183 | NPI | - | NPPES |
106334903 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | K0737 (Texas) | Primary |
Provider Name | Michael Esantsi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447260518 PECOS PAC ID: 9830102565 Enrollment ID: I20110908001680 |
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