| Rudolph Medical Associates, Pa | |
|
12924 Bellaire Blvd Ste 100 Houston TX 77072-5132 | |
| (713) 457-5500 | |
| (713) 457-4200 |
| Full Name | Rudolph Medical Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 12924 Bellaire Blvd Ste 100, Houston, Texas |
| Authorized Official Name and Position | Tram Ngoc Ho (PRESIDENT) |
| Authorized Official Contact | 7134575500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rudolph Medical Associates, Pa 12924 Bellaire Blvd Ste 100 Houston TX 77072-5132 Ph: (713) 457-5500 | Rudolph Medical Associates, Pa 12924 Bellaire Blvd Ste 100 Houston TX 77072-5132 Ph: (713) 457-5500 |
| NPI Number | 1053439364 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 01/06/2014 |
| Medicare PECOS PAC ID | 9335193762 |
|---|---|
| Medicare Enrollment ID | O20050309000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053439364 | NPI | - | NPPES |
| 176386401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tram Ngoc Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649350901 PECOS PAC ID: 1951355387 Enrollment ID: I20050310000484 |
| Provider Name | Nam Phan Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730344185 PECOS PAC ID: 6800038647 Enrollment ID: I20130807000974 |
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