| Summit Family Practice, Pllc | |
|
5222 Spruce St Bellaire TX 77401-3311 | |
| (713) 626-2334 | |
| Not Available |
| Full Name | Summit Family Practice, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5222 Spruce St, Bellaire, Texas |
| Authorized Official Name and Position | Bryan Hasse (OWNER) |
| Authorized Official Contact | 7136262334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Family Practice, Pllc Po Box 3290 Bellaire TX 77402-3290 Ph: (713) 626-2334 | Summit Family Practice, Pllc 5222 Spruce St Bellaire TX 77401-3311 Ph: (713) 626-2334 |
| NPI Number | 1700570900 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/08/2023 |
| Medicare PECOS PAC ID | 3375990898 |
|---|---|
| Medicare Enrollment ID | O20231106001072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700570900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Alan D Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518935006 PECOS PAC ID: 0244390755 Enrollment ID: I20081113000391 |
| Provider Name | Bryan C Hasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073614046 PECOS PAC ID: 3678583044 Enrollment ID: I20170110000068 |
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