| Surgery Specialty Clinicians, Inc. | |
|
4301 Vista Rd Pasadena TX 77504-2117 | |
| (713) 378-3000 | |
| (713) 944-3334 |
| Full Name | Surgery Specialty Clinicians, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4301 Vista Rd, Pasadena, Texas |
| Authorized Official Name and Position | Eric K. Chan (PRESIDENT) |
| Authorized Official Contact | 7133783000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surgery Specialty Clinicians, Inc. Po Box 5574 Pasadena TX 77508-5574 Ph: (713) 378-3000 | Surgery Specialty Clinicians, Inc. 4301 Vista Rd Pasadena TX 77504-2117 Ph: (713) 378-3000 |
| NPI Number | 1568884278 |
|---|---|
| Provider Enumeration Date | 01/15/2014 |
| Last Update Date | 01/15/2014 |
| Medicare PECOS PAC ID | 6608090980 |
|---|---|
| Medicare Enrollment ID | O20140605001809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568884278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric K Chan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831118785 PECOS PAC ID: 6709986490 Enrollment ID: I20070710000924 |
| Provider Name | Yolanda Bolanie Ajala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619164852 PECOS PAC ID: 5890875124 Enrollment ID: I20071227000610 |
| Provider Name | Xiao H Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326069139 PECOS PAC ID: 1951367655 Enrollment ID: I20130910000326 |
| Provider Name | Grant Fankhauser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1831121532 PECOS PAC ID: 2264680552 Enrollment ID: I20141112000466 |
| Provider Name | Christopher A Durham |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1699979419 PECOS PAC ID: 1951538453 Enrollment ID: I20150520002446 |
| Provider Name | Sylva Chikere Alozie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295782761 PECOS PAC ID: 6406957380 Enrollment ID: I20200826000097 |
| Provider Name | Jami Damron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982366209 PECOS PAC ID: 1254727522 Enrollment ID: I20220413002649 |
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