| Phoenix Diagnostic Enterprises Pllc | |
|
1200 Binz St Ste 1100 Houston TX 77004-6926 | |
| (713) 797-9191 | |
| (713) 986-1353 |
| Full Name | Phoenix Diagnostic Enterprises Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1200 Binz St Ste 1100, Houston, Texas |
| Authorized Official Name and Position | Ronald C Colman (PRESIDENT) |
| Authorized Official Contact | 7137979191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Diagnostic Enterprises Pllc 1200 Binz St Ste 1100 Houston TX 77004-6926 Ph: (713) 797-9191 | Phoenix Diagnostic Enterprises Pllc 1200 Binz St Ste 1100 Houston TX 77004-6926 Ph: (713) 797-9191 |
| NPI Number | 1578766408 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8325149883 |
|---|---|
| Medicare Enrollment ID | O20070727000333 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578766408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Steve Thomas Gove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689679250 PECOS PAC ID: 7911958988 Enrollment ID: I20050207000920 |
| Provider Name | Ryan C Neal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710936273 PECOS PAC ID: 3072551563 Enrollment ID: I20050425000795 |
| Provider Name | Nadya H Alibhai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538109368 PECOS PAC ID: 6406891597 Enrollment ID: I20050620000752 |
| Provider Name | Anita G Beneke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730169020 PECOS PAC ID: 9032148788 Enrollment ID: I20050811001077 |
| Provider Name | Timothy D Daniel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770679573 PECOS PAC ID: 4183659451 Enrollment ID: I20051005000850 |
| Provider Name | Freemu K Varghese |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1467438614 PECOS PAC ID: 1658387592 Enrollment ID: I20060301000506 |
| Provider Name | Edward Alan Nash |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1962428656 PECOS PAC ID: 4880691740 Enrollment ID: I20061107000290 |
| Provider Name | Kevin T Marks |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679585228 PECOS PAC ID: 1052311255 Enrollment ID: I20070112000114 |
| Provider Name | George Conklin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245215151 PECOS PAC ID: 2769573245 Enrollment ID: I20070813000621 |
| Provider Name | Ronald C Colman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871579417 PECOS PAC ID: 4981655438 Enrollment ID: I20070813000644 |
| Provider Name | Vinita Bhagia |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508060104 PECOS PAC ID: 3971654666 Enrollment ID: I20090618000664 |
| Provider Name | Paul Paily |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1144480302 PECOS PAC ID: 9133291172 Enrollment ID: I20090824000604 |
| Provider Name | Emma Cid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851325799 PECOS PAC ID: 9638358112 Enrollment ID: I20110131000291 |
| Provider Name | Edgard Ivan Gonzalez Feldman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477525202 PECOS PAC ID: 0345285557 Enrollment ID: I20120821000477 |
| Provider Name | Regina A Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134477052 PECOS PAC ID: 5890944730 Enrollment ID: I20121009000361 |
| Provider Name | Aliya S Hayes |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1194902130 PECOS PAC ID: 4789831298 Enrollment ID: I20141212001486 |
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