| Rocky Creek Family Medicine Pllc | |
|
3281 Rocky Creek Dr Ste 500 Missouri City TX 77459-4756 | |
| (281) 206-0068 | |
| (281) 499-5045 |
| Full Name | Rocky Creek Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3281 Rocky Creek Dr Ste 500, Missouri City, Texas |
| Authorized Official Name and Position | Deidre Mcmullen (PRESIDENT) |
| Authorized Official Contact | 2812060068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocky Creek Family Medicine Pllc 3281 Rocky Creek Dr Ste 500 Missouri City TX 77459-4756 Ph: (281) 206-0068 | Rocky Creek Family Medicine Pllc 3281 Rocky Creek Dr Ste 500 Missouri City TX 77459-4756 Ph: (281) 206-0068 |
| NPI Number | 1982109096 |
|---|---|
| Provider Enumeration Date | 03/29/2018 |
| Last Update Date | 03/29/2018 |
| Medicare PECOS PAC ID | 4587919980 |
|---|---|
| Medicare Enrollment ID | O20180626000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982109096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Deirdre C Mcmullen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043206733 PECOS PAC ID: 9234194119 Enrollment ID: I20041123000815 |
| Provider Name | Hillary A Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447666912 PECOS PAC ID: 5496977605 Enrollment ID: I20141103002180 |
| Provider Name | Tiyashi Choudhury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235497132 PECOS PAC ID: 7517277940 Enrollment ID: I20151113001686 |
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