| Suncoast Medical Care | |
|
8314 Southwest Fwy Houston TX 77074-1603 | |
| (713) 541-0095 | |
| Not Available |
| Full Name | Suncoast Medical Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 8314 Southwest Fwy, Houston, Texas |
| Authorized Official Name and Position | Onyinye Agim (PHYSICIAN / OWNER) |
| Authorized Official Contact | 7135410095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suncoast Medical Care 8314 Southwest Fwy Houston TX 77074-1603 Ph: (713) 541-0095 | Suncoast Medical Care 8314 Southwest Fwy Houston TX 77074-1603 Ph: (713) 541-0095 |
| NPI Number | 1376810341 |
|---|---|
| Provider Enumeration Date | 11/19/2011 |
| Last Update Date | 02/24/2016 |
| Medicare PECOS PAC ID | 4789846718 |
|---|---|
| Medicare Enrollment ID | O20120508000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376810341 | NPI | - | NPPES |
| 3074858 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | N2360 (Texas) | Primary |
| Provider Name | Onyinye A Agim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518121532 PECOS PAC ID: 0840325510 Enrollment ID: I20100319000314 |
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