| Premier Health Care Group Pllc | |
|
5050 Crenshaw Rd Ste 100 Pasadena TX 77505-3139 | |
| (832) 399-4141 | |
| (281) 487-8824 |
| Full Name | Premier Health Care Group Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5050 Crenshaw Rd Ste 100, Pasadena, Texas |
| Authorized Official Name and Position | Karen Ann Fitzsimmons (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8323994141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Health Care Group Pllc 5050 Crenshaw Rd Ste 100 Pasadena TX 77505-3139 Ph: (832) 399-4141 | Premier Health Care Group Pllc 5050 Crenshaw Rd Ste 100 Pasadena TX 77505-3139 Ph: (832) 399-4141 |
| NPI Number | 1174511513 |
|---|---|
| Provider Enumeration Date | 10/10/2005 |
| Last Update Date | 12/08/2021 |
| Medicare PECOS PAC ID | 1557318680 |
|---|---|
| Medicare Enrollment ID | O20050331001125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174511513 | NPI | - | NPPES |
| 093873001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Paul Boone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770596157 PECOS PAC ID: 3678520707 Enrollment ID: I20050331001093 |
| Provider Name | Monte E Orahood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114956414 PECOS PAC ID: 7113968561 Enrollment ID: I20050517000371 |
| Provider Name | Silvia Boccardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861480204 PECOS PAC ID: 1052418050 Enrollment ID: I20101117001381 |
| Provider Name | Luis Sabatini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386632776 PECOS PAC ID: 2567560469 Enrollment ID: I20110105000536 |
| Provider Name | Peter Souheil Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033644299 PECOS PAC ID: 1850719881 Enrollment ID: I20200908002515 |
| Provider Name | Christina Souheil Haddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205490141 PECOS PAC ID: 5698155810 Enrollment ID: I20220706002163 |
| Provider Name | Samuel Alfonso Vega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477015493 PECOS PAC ID: 9335520527 Enrollment ID: I20220719003301 |
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