| Progressive Medical Clinic, Llp | |
|
11920 Astoria Blvd Suite 300 Houston TX 77089-6043 | |
| (281) 481-8878 | |
| (281) 481-9020 |
| Full Name | Progressive Medical Clinic, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 11920 Astoria Blvd, Houston, Texas |
| Authorized Official Name and Position | Michael Larry Warneke (MANAGING PARTNER) |
| Authorized Official Contact | 2814818878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Medical Clinic, Llp 11920 Astoria Blvd Suite 300 Houston TX 77089-6043 Ph: (281) 481-8878 | Progressive Medical Clinic, Llp 11920 Astoria Blvd Suite 300 Houston TX 77089-6043 Ph: (281) 481-8878 |
| NPI Number | 1316991011 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 11/07/2007 |
| Medicare PECOS PAC ID | 1850387796 |
|---|---|
| Medicare Enrollment ID | O20040424000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316991011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Khanh Trang Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619995768 PECOS PAC ID: 9436137965 Enrollment ID: I20040712000436 |
| Provider Name | Michael L Warneke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326092768 PECOS PAC ID: 9931195880 Enrollment ID: I20100907000390 |
| Provider Name | Tai N Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982659629 PECOS PAC ID: 4082738570 Enrollment ID: I20100907000429 |
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