| |
20144 Morton Rd Ste 202 Katy TX 77449-3726 | |
(832) 321-3696 | |
(832) 321-2355 |
Full Name | |
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Speciality | Family Medicine |
Location | 20144 Morton Rd Ste 202, Katy, Texas |
Authorized Official Name and Position | Yunier Gonzalez Sanchez (FAMILY NURSE PRACTITIONER) |
Authorized Official Contact | 8328630071 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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20144 Morton Rd Ste 202 Katy TX 77449-3726 Ph: (832) 321-3696 | 20144 Morton Rd Ste 202 Katy TX 77449-3726 Ph: (832) 321-3696 |
NPI Number | 1598519019 |
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Provider Enumeration Date | 04/12/2024 |
Last Update Date | 06/20/2024 |
Medicare PECOS PAC ID | 3072057850 |
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Medicare Enrollment ID | O20240703002930 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598519019 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Yunier Gonzalez Sanchez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821859240 PECOS PAC ID: 6709320583 Enrollment ID: I20240703003028 |
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