| Imperial Valley Urgent Care Center | |
|
779 Normandy St Suite-114 Houston TX 77015-0779 | |
| (713) 893-6214 | |
| (718) 640-2713 |
| Full Name | Imperial Valley Urgent Care Center |
|---|---|
| Speciality | General Practice |
| Location | 779 Normandy St, Houston, Texas |
| Authorized Official Name and Position | Abdur Rauf (MEDICAL DOCTOR) |
| Authorized Official Contact | 7138936214 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial Valley Urgent Care Center 779 Normandy St Suite-114 Houston TX 77015-0779 Ph: (713) 453-8900 | Imperial Valley Urgent Care Center 779 Normandy St Suite-114 Houston TX 77015-0779 Ph: (713) 893-6214 |
| NPI Number | 1407171077 |
|---|---|
| Provider Enumeration Date | 04/07/2010 |
| Last Update Date | 07/18/2022 |
| Medicare PECOS PAC ID | 2668503178 |
|---|---|
| Medicare Enrollment ID | O20100628000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407171077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | L2584 (Texas) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Juan M Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760445381 PECOS PAC ID: 1951396175 Enrollment ID: I20040603000708 |
| Provider Name | Abdur Rauf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497726202 PECOS PAC ID: 8325016959 Enrollment ID: I20040922000160 |
| Provider Name | James M Piccione |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356321509 PECOS PAC ID: 5193726651 Enrollment ID: I20070125000354 |
| Provider Name | Ramegowda Belakere |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235166687 PECOS PAC ID: 0547265183 Enrollment ID: I20080429000146 |
| Provider Name | Ani Stephen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588959118 PECOS PAC ID: 9133389711 Enrollment ID: I20150116001697 |
| Provider Name | Odette T Kourouma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134525868 PECOS PAC ID: 3577868611 Enrollment ID: I20160226001214 |
| Provider Name | Manju C Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447637988 PECOS PAC ID: 9032409727 Enrollment ID: I20160615001974 |
| Provider Name | Sali Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457712077 PECOS PAC ID: 0244510170 Enrollment ID: I20161209001148 |
| Provider Name | Sheena F Nampimadom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245789346 PECOS PAC ID: 2163703240 Enrollment ID: I20170104000095 |
| Provider Name | Honey Philipose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235677899 PECOS PAC ID: 2860769023 Enrollment ID: I20170519000150 |
| Provider Name | Jeena Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467901587 PECOS PAC ID: 6103193958 Enrollment ID: I20170525002403 |
| Provider Name | Odalis Lizeth Valdez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245742758 PECOS PAC ID: 6103174982 Enrollment ID: I20180810000951 |
| Provider Name | Glory Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194206490 PECOS PAC ID: 1254678998 Enrollment ID: I20190204000499 |
| Provider Name | Nubia Benavides |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801371935 PECOS PAC ID: 9335488808 Enrollment ID: I20190227001540 |
| Provider Name | Jeemol George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497219067 PECOS PAC ID: 1658605035 Enrollment ID: I20190619002457 |
| Provider Name | Reshma Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922652726 PECOS PAC ID: 1153653589 Enrollment ID: I20191104002172 |
| Provider Name | Larry D Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033769765 PECOS PAC ID: 0345672192 Enrollment ID: I20191115000996 |
| Provider Name | Limy Fernandus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972005189 PECOS PAC ID: 8820424070 Enrollment ID: I20200206000401 |
| Provider Name | Vibitha Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952931560 PECOS PAC ID: 3476980665 Enrollment ID: I20200228000277 |
| Provider Name | Brittany Np Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275163537 PECOS PAC ID: 4880022532 Enrollment ID: I20200312000681 |
| Provider Name | Joy Iyoriobhe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114584885 PECOS PAC ID: 0941638415 Enrollment ID: I20200316001513 |
| Provider Name | Mini Philip Chennemkara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841755956 PECOS PAC ID: 0941638027 Enrollment ID: I20200324001774 |
| Provider Name | Cini Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134777238 PECOS PAC ID: 5991133969 Enrollment ID: I20200325002872 |
| Provider Name | Julie Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447883061 PECOS PAC ID: 3577992130 Enrollment ID: I20200401003611 |
| Provider Name | Jaya Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194336149 PECOS PAC ID: 9436564713 Enrollment ID: I20210218001949 |
| Provider Name | Sigi Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033623616 PECOS PAC ID: 6800202961 Enrollment ID: I20210316000150 |
| Provider Name | Jeny K John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073019493 PECOS PAC ID: 5395154843 Enrollment ID: I20210513000111 |
| Provider Name | Molly Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396380077 PECOS PAC ID: 4789084781 Enrollment ID: I20210614000863 |
| Provider Name | Shelna Sibi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548570328 PECOS PAC ID: 6305234071 Enrollment ID: I20211105002180 |
| Provider Name | Ancy V Kurian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316558935 PECOS PAC ID: 6800216094 Enrollment ID: I20211214000901 |
| Provider Name | Janecia S Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720557671 PECOS PAC ID: 2062750268 Enrollment ID: I20220607000475 |
| Provider Name | Jelsa Antu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669128500 PECOS PAC ID: 9133507924 Enrollment ID: I20220607002192 |
| Provider Name | Notasha I Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710511159 PECOS PAC ID: 4183002611 Enrollment ID: I20220611000164 |
| Provider Name | Fuchsia Flint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346838380 PECOS PAC ID: 5193106581 Enrollment ID: I20220715002514 |
| Provider Name | Alyssa Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821771296 PECOS PAC ID: 1850745357 Enrollment ID: I20231003001442 |
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