| Roussel Clement Mdpa | |
|
6265 39th St Groves TX 77619-4614 | |
| (409) 962-4400 | |
| (409) 962-4412 |
| Full Name | Roussel Clement Mdpa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6265 39th St, Groves, Texas |
| Authorized Official Name and Position | Roussel Clement (PRACTICE OWNER) |
| Authorized Official Contact | 4096262169 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roussel Clement Mdpa 6265 39th St Groves TX 77619-4614 Ph: (409) 962-4400 | Roussel Clement Mdpa 6265 39th St Groves TX 77619-4614 Ph: (409) 962-4400 |
| NPI Number | 1720147762 |
|---|---|
| Provider Enumeration Date | 12/06/2006 |
| Last Update Date | 02/14/2024 |
| Medicare PECOS PAC ID | 4486655446 |
|---|---|
| Medicare Enrollment ID | O20070118000416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720147762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Roussel Clement |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710977913 PECOS PAC ID: 8628027026 Enrollment ID: I20050112000741 |
| Provider Name | Ashley W Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104231513 PECOS PAC ID: 2961728175 Enrollment ID: I20150306000247 |
| Provider Name | Tara L Fenner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417423153 PECOS PAC ID: 3072846682 Enrollment ID: I20190613002907 |
| Provider Name | My Hien T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043858798 PECOS PAC ID: 4183052525 Enrollment ID: I20200409002481 |
Russell N. Mcdonald Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 39th St, Groves, TX 77619 Phone: 409-962-8509 Fax: 409-962-0763 | |
Allied Physicians Group Of Texas, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5502 39th St, Suite #102, Groves, TX 77619 Phone: 409-984-7640 Fax: 409-984-7641 | |
George K. Katei M.d., P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5301 39th St, Groves, TX 77619 Phone: 409-962-4272 Fax: 409-962-2451 | |
Internal Medicine Associates Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5502 39th St, #105, Groves, TX 77619 Phone: 409-962-7606 Fax: 409-962-6027 | |
Tri-county Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5301 39th St, Groves, TX 77619 Phone: 409-962-4272 Fax: 409-962-2451 |