| Orlando Fonseca, Md, Pllc | |
|
9190 Katy Fwy Suite 201 Houston TX 77055-7455 | |
| (713) 464-1919 | |
| Not Available |
| Full Name | Orlando Fonseca, Md, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9190 Katy Fwy, Houston, Texas |
| Authorized Official Name and Position | Orlando Fonseca (OWNER, INTERNAL MEDICINE PHYSICIAN) |
| Authorized Official Contact | 7134641919 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Fonseca, Md, Pllc 9190 Katy Fwy Ste 201 Houston TX 77055-7444 Ph: (713) 464-1919 | Orlando Fonseca, Md, Pllc 9190 Katy Fwy Suite 201 Houston TX 77055-7455 Ph: (713) 464-1919 |
| NPI Number | 1902048358 |
|---|---|
| Provider Enumeration Date | 03/31/2009 |
| Last Update Date | 06/29/2010 |
| Medicare PECOS PAC ID | 9638227580 |
|---|---|
| Medicare Enrollment ID | O20090501000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902048358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M6133 (Texas) | Primary |
| Provider Name | Orlando G Fonseca |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992926505 PECOS PAC ID: 9234218058 Enrollment ID: I20080506000158 |
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