| Mpp Mso Pllc | |
|
550 Westcott St Suite 520 Houston TX 77007-9015 | |
| (336) 864-6694 | |
| Not Available |
| Full Name | Mpp Mso Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 550 Westcott St, Houston, Texas |
| Authorized Official Name and Position | Valarie Douglas (ADMINISTRATOR) |
| Authorized Official Contact | 3368568011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mpp Mso Pllc 550 Westcott St Suite 520 Houston TX 77007-9015 Ph: (336) 864-6694 | Mpp Mso Pllc 550 Westcott St Suite 520 Houston TX 77007-9015 Ph: (336) 864-6694 |
| NPI Number | 1497126122 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 10/22/2015 |
| Medicare PECOS PAC ID | 8820371172 |
|---|---|
| Medicare Enrollment ID | O20170210000907 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497126122 | NPI | - | NPPES |
| Provider Name | Alice R Mao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851309488 PECOS PAC ID: 4385627629 Enrollment ID: I20040609000403 |
| Provider Name | John A Mcdivitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669553608 PECOS PAC ID: 2961486584 Enrollment ID: I20040614000316 |
| Provider Name | Ian L Smalling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114971033 PECOS PAC ID: 0446226112 Enrollment ID: I20040903000202 |
| Provider Name | Matthew N Brams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639187263 PECOS PAC ID: 8820008303 Enrollment ID: I20060427000575 |
| Provider Name | Donna K Ayers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790836344 PECOS PAC ID: 9032260815 Enrollment ID: I20090708000321 |
| Provider Name | Jayne L Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952412132 PECOS PAC ID: 4284822206 Enrollment ID: I20101217000131 |
| Provider Name | Nicole A Lisberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700397726 PECOS PAC ID: 0840558250 Enrollment ID: I20171212002827 |
| Provider Name | Oluwadayo Busola Adeyemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669961504 PECOS PAC ID: 0345588042 Enrollment ID: I20190205000267 |
| Provider Name | Adaeze Meremikwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336625219 PECOS PAC ID: 5799024204 Enrollment ID: I20190228000307 |
| Provider Name | Melanie M Stolte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255996997 PECOS PAC ID: 0042547283 Enrollment ID: I20190809001507 |
| Provider Name | Funmilayo T Akinrimisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184281560 PECOS PAC ID: 5395170765 Enrollment ID: I20200113000558 |
| Provider Name | Kennedy O Anyanwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013507276 PECOS PAC ID: 4789092255 Enrollment ID: I20210421002896 |
| Provider Name | Olasunkanmi Abiodun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457994576 PECOS PAC ID: 5597164129 Enrollment ID: I20210601001936 |
| Provider Name | Brandi Gebhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780336982 PECOS PAC ID: 4981947678 Enrollment ID: I20220516000663 |
| Provider Name | Monica Grover |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386991073 PECOS PAC ID: 8123311560 Enrollment ID: I20221020000470 |
| Provider Name | Trisha M Lindemann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184344764 PECOS PAC ID: 9335515717 Enrollment ID: I20221026003022 |
| Provider Name | Linda U Ejem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578284022 PECOS PAC ID: 8820468366 Enrollment ID: I20221228001134 |
| Provider Name | Emmanuel Kayode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083311880 PECOS PAC ID: 3577923077 Enrollment ID: I20230715000200 |
| Provider Name | Mendi L Sayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538848072 PECOS PAC ID: 5991168940 Enrollment ID: I20230824001072 |
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