| Phi | |
|
290 E Medical Center Blvd Webster TX 77598-4319 | |
| (281) 956-7070 | |
| Not Available |
| Full Name | Phi |
|---|---|
| Speciality | Internal Medicine |
| Location | 290 E Medical Center Blvd, Webster, Texas |
| Authorized Official Name and Position | Mohamed L Shalaby (PRESIDENT) |
| Authorized Official Contact | 2819567070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phi 290 E Medical Center Blvd Webster TX 77598-4319 Ph: (281) 956-7070 | Phi 290 E Medical Center Blvd Webster TX 77598-4319 Ph: (281) 956-7070 |
| NPI Number | 1427749654 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 09/19/2024 |
| Medicare PECOS PAC ID | 4789023250 |
|---|---|
| Medicare Enrollment ID | O20240416004092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427749654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohamed L Shalaby |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700889961 PECOS PAC ID: 1850331968 Enrollment ID: I20071031000123 |
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