Unity Hospitalist Group Pllc | |
21693 Fm 1314 Rd Ste 400 Porter TX 77365-7065 | |
(281) 354-2417 | |
(281) 786-0267 |
Full Name | Unity Hospitalist Group Pllc |
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Speciality | Internal Medicine |
Location | 21693 Fm 1314 Rd Ste 400, Porter, Texas |
Authorized Official Name and Position | Randall Roland (OWNER/PROVIDER) |
Authorized Official Contact | 2813542417 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Unity Hospitalist Group Pllc 21693 Fm 1314 Rd Ste 400 Porter TX 77365-7065 Ph: (281) 354-2417 | Unity Hospitalist Group Pllc 21693 Fm 1314 Rd Ste 400 Porter TX 77365-7065 Ph: (281) 354-2417 |
NPI Number | 1730791773 |
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Provider Enumeration Date | 08/20/2020 |
Last Update Date | 08/20/2020 |
Medicare PECOS PAC ID | 5698195287 |
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Medicare Enrollment ID | O20201021000219 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730791773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Randall K Roland |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275912354 PECOS PAC ID: 8820347552 Enrollment ID: I20180814001302 |
Provider Name | Charles Amoafo Amelemah |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356788178 PECOS PAC ID: 3375831746 Enrollment ID: I20190815002177 |
Porter Medical Center Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24540 Fm 1314 Rd, Porter, TX 77365 Phone: 832-326-8032 Fax: 281-354-8815 | |
Diverse Community Healthcare Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21898 Fm 1314 Rd Ste B, Porter, TX 77365 Phone: 281-354-2417 Fax: 281-786-0267 | |
Mda Diversified Enterprises Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23527 Fm 1314 Rd Ste E, Porter, TX 77365 Phone: 281-381-6190 | |
Myway Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20711 Lavone Dr, Porter, TX 77365 Phone: 512-956-9929 |