| |
545 Fm 2977 Rd Ste 110 Rosenberg TX 77469-7507 | |
(832) 930-9301 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 545 Fm 2977 Rd Ste 110, Rosenberg, Texas |
Authorized Official Name and Position | Chuks Nwankwo (OFFICE MANAGER) |
Authorized Official Contact | 8329308399 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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545 Fm 2977 Rd Ste 110 Rosenberg TX 77469-7518 Ph: (832) 930-8399 | 545 Fm 2977 Rd Ste 110 Rosenberg TX 77469-7507 Ph: (832) 930-9301 |
NPI Number | 1255894911 |
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Provider Enumeration Date | 04/10/2019 |
Last Update Date | 02/06/2024 |
Medicare PECOS PAC ID | 6305175282 |
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Medicare Enrollment ID | O20190903002439 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255894911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
Provider Name | Chinyere N Awa |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669415279 PECOS PAC ID: 7517853658 Enrollment ID: I20040225000501 |
Provider Name | Gwendolyn Molina-carranza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518364108 PECOS PAC ID: 4688999535 Enrollment ID: I20150217001347 |
Provider Name | Cassandra Chidimma Eneremadu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013453711 PECOS PAC ID: 1557637717 Enrollment ID: I20171017000479 |
Provider Name | Danielle Mondesir Matthew |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255857165 PECOS PAC ID: 7113275108 Enrollment ID: I20180808000495 |
Provider Name | Leena Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952854028 PECOS PAC ID: 6800181967 Enrollment ID: I20210816002219 |
Provider Name | Tonya R Poore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740866102 PECOS PAC ID: 7214337146 Enrollment ID: I20211009000149 |
Provider Name | Omosede Uwaifo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255649596 PECOS PAC ID: 0840607826 Enrollment ID: I20220502000457 |
Provider Name | Gabrielle Michelle Spiller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205592151 PECOS PAC ID: 4082001581 Enrollment ID: I20220503000120 |
Provider Name | Kathryn E Brazelton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215536271 PECOS PAC ID: 9032597323 Enrollment ID: I20220526002742 |
Provider Name | Kyle Garrow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093472524 PECOS PAC ID: 6406229343 Enrollment ID: I20230223003096 |
Provider Name | Robert Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154000586 PECOS PAC ID: 9335596824 Enrollment ID: I20231106000027 |
Provider Name | Katie J Kmiecik |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629461280 PECOS PAC ID: 7810215688 Enrollment ID: I20240302000037 |
Provider Name | Katherine R Livone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609628759 PECOS PAC ID: 4789126673 Enrollment ID: I20240606002914 |
Provider Name | Yakuta Khambati |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386323582 PECOS PAC ID: 2567909476 Enrollment ID: I20240808002673 |
Telaclinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Lane Dr, Suite 2, Rosenberg, TX 77471 Phone: 281-633-0148 | |
Quick Clinic Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4114 Avenue H, Rosenberg, TX 77471 Phone: 281-725-6182 Fax: 281-399-5972 | |
South Texas Medical Clinics, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2520 B F Terry Blvd, Rosenberg, TX 77471 Phone: 281-342-6006 Fax: 281-239-7554 | |