| Premier Medical Doctors Pllc | |
|
1213 Hermann Dr Ste 610 Houston TX 77004-7012 | |
| (713) 524-3900 | |
| (713) 527-8356 |
| Full Name | Premier Medical Doctors Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1213 Hermann Dr Ste 610, Houston, Texas |
| Authorized Official Name and Position | Nancy J Kelchlin (PRACTICE MANAGER) |
| Authorized Official Contact | 7138718826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Doctors Pllc 1213 Hermann Dr Ste 610 Houston TX 77004-7012 Ph: (713) 524-3900 | Premier Medical Doctors Pllc 1213 Hermann Dr Ste 610 Houston TX 77004-7012 Ph: (713) 524-3900 |
| NPI Number | 1750995874 |
|---|---|
| Provider Enumeration Date | 09/04/2020 |
| Last Update Date | 07/12/2023 |
| Medicare PECOS PAC ID | 5597176479 |
|---|---|
| Medicare Enrollment ID | O20201125000731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750995874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RS0012X | Internal Medicine - Sleep Medicine | (* (Not Available)) | Secondary |
| Provider Name | Irvin C Tantuco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508025412 PECOS PAC ID: 9133296668 Enrollment ID: I20080924000497 |
| Provider Name | Todd A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306117585 PECOS PAC ID: 8123288222 Enrollment ID: I20120327000948 |
| Provider Name | Shery Cherian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467602714 PECOS PAC ID: 2264604289 Enrollment ID: I20200127000679 |
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