| Reliable Family & Geriatrics Practice | |
|
5530 W Ridgecreek Dr Ste 250 Houston TX 77053-3536 | |
| (346) 277-2133 | |
| (346) 998-1550 |
| Full Name | Reliable Family & Geriatrics Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 5530 W Ridgecreek Dr Ste 250, Houston, Texas |
| Authorized Official Name and Position | Ndubuisi David Odimegwu (OWNER) |
| Authorized Official Contact | 3462232195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliable Family & Geriatrics Practice 5530 W Ridgecreek Dr Ste 250 Houston TX 77053-3536 Ph: (346) 223-2195 | Reliable Family & Geriatrics Practice 5530 W Ridgecreek Dr Ste 250 Houston TX 77053-3536 Ph: (346) 277-2133 |
| NPI Number | 1477198869 |
|---|---|
| Provider Enumeration Date | 11/09/2019 |
| Last Update Date | 01/14/2022 |
| Medicare PECOS PAC ID | 9032543954 |
|---|---|
| Medicare Enrollment ID | O20200102000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477198869 | NPI | - | NPPES |
| Provider Name | Ndubuisi David Odimegwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043702467 PECOS PAC ID: 4688816325 Enrollment ID: I20191010002827 |
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