Sangon Investments Llc | |
3008 Blodgett St Houston TX 77004-5304 | |
(832) 869-2921 | |
Not Available |
Full Name | Sangon Investments Llc |
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Speciality | Clinic/Center |
Location | 3008 Blodgett St, Houston, Texas |
Authorized Official Name and Position | Gerald Jones (DIRECTOR) |
Authorized Official Contact | 8328692921 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sangon Investments Llc 3008 Blodgett St Houston TX 77004-5304 Ph: () - | Sangon Investments Llc 3008 Blodgett St Houston TX 77004-5304 Ph: (832) 869-2921 |
NPI Number | 1629837026 |
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Provider Enumeration Date | 03/18/2024 |
Last Update Date | 03/18/2024 |
Medicare PECOS PAC ID | 6103265707 |
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Medicare Enrollment ID | O20240416000973 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629837026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
Provider Name | Jessy Cecil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255045233 PECOS PAC ID: 8224488168 Enrollment ID: I20231219001951 |
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