Village Family Practice, L.l.p | |
9055 Katy Fwy Ste 200 Houston TX 77024-1629 | |
(713) 461-2915 | |
(713) 461-5307 |
Full Name | Village Family Practice, L.l.p |
---|---|
Speciality | Family Medicine |
Location | 9055 Katy Fwy, Houston, Texas |
Authorized Official Name and Position | Clive K Fields (PARTNER) |
Authorized Official Contact | 7134612915 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Village Family Practice, L.l.p 9055 Katy Fwy Ste 200 Houston TX 77024-1629 Ph: (713) 461-2915 | Village Family Practice, L.l.p 9055 Katy Fwy Ste 200 Houston TX 77024-1629 Ph: (713) 461-2915 |
NPI Number | 1083619191 |
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Provider Enumeration Date | 06/15/2005 |
Last Update Date | 06/20/2018 |
Medicare PECOS PAC ID | 9032127345 |
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Medicare Enrollment ID | O20060328000807 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083619191 | NPI | - | NPPES |
00783N | Other | TX | MEDICARE ID# |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | H6216 (Texas) | Primary |
207R00000X | Internal Medicine | H4289 (Texas) | Secondary |
Provider Name | Madhavi A Reddy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588667471 PECOS PAC ID: 4183517634 Enrollment ID: I20040206000687 |
Provider Name | Stephanie Elizabeth Wiman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932531779 PECOS PAC ID: 6709872518 Enrollment ID: I20040426000158 |
Provider Name | Titus K Venyah |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639130966 PECOS PAC ID: 6608864798 Enrollment ID: I20040505001682 |
Provider Name | Jennifer E Burbridge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679610497 PECOS PAC ID: 9739140963 Enrollment ID: I20041021000469 |
Provider Name | Barry E Troyan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295733483 PECOS PAC ID: 3173565942 Enrollment ID: I20050523001138 |
Provider Name | Troy T Fiesinger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245347541 PECOS PAC ID: 7810906757 Enrollment ID: I20060420000343 |
Provider Name | Miranda Wang-gor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821030065 PECOS PAC ID: 5991700023 Enrollment ID: I20060925000342 |
Provider Name | Khadijah Adejumo |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235216334 PECOS PAC ID: 4284735648 Enrollment ID: I20070730000203 |
Provider Name | Alan J Reichman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245328376 PECOS PAC ID: 8123028545 Enrollment ID: I20070802000100 |
Provider Name | Brian L Cesarski |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1508058231 PECOS PAC ID: 8820171473 Enrollment ID: I20080206000175 |
Provider Name | Trevor Rabie |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285670661 PECOS PAC ID: 0042201113 Enrollment ID: I20090520000091 |
Provider Name | Dwane G Broussard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902801004 PECOS PAC ID: 6709810682 Enrollment ID: I20100315000423 |
Provider Name | Susan T Erie |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609871862 PECOS PAC ID: 8426082306 Enrollment ID: I20100317000074 |
Provider Name | Marc H Feldman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205831310 PECOS PAC ID: 7416981394 Enrollment ID: I20100317000186 |
Provider Name | Michael L Noel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366447526 PECOS PAC ID: 3072547702 Enrollment ID: I20100317000205 |
Provider Name | Sandra E Lemming |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508861600 PECOS PAC ID: 9638103419 Enrollment ID: I20100317000225 |
Provider Name | Ann Madeline Domask |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790780955 PECOS PAC ID: 1254365133 Enrollment ID: I20100318000316 |
Provider Name | Geoffrey Groff |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1730184995 PECOS PAC ID: 9739113515 Enrollment ID: I20100324000576 |
Provider Name | Alex M Su |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609871706 PECOS PAC ID: 2163456807 Enrollment ID: I20100327000222 |
Provider Name | Ivor W Foox |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275618696 PECOS PAC ID: 7719016617 Enrollment ID: I20100603000057 |
Provider Name | Phillip Mark Aguilar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578586038 PECOS PAC ID: 8123144300 Enrollment ID: I20100924000734 |
Provider Name | Julie K Toll |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306932595 PECOS PAC ID: 7719175744 Enrollment ID: I20101217000282 |
Provider Name | Robert C Vanzant |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104821016 PECOS PAC ID: 2062439615 Enrollment ID: I20110414000711 |
Provider Name | Brent Devin Reed |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013201615 PECOS PAC ID: 8628248515 Enrollment ID: I20110901000416 |
Provider Name | Mai L Somphet |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962603126 PECOS PAC ID: 3577738491 Enrollment ID: I20111205000459 |
Provider Name | David G Nelson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396752259 PECOS PAC ID: 8729169305 Enrollment ID: I20120601000057 |
Provider Name | Clive K Fields |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366447583 PECOS PAC ID: 2961436845 Enrollment ID: I20120606000764 |
Provider Name | Caroline Bolz Carter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366670820 PECOS PAC ID: 3375708241 Enrollment ID: I20120626000694 |
Provider Name | Theodore Lawler |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144208414 PECOS PAC ID: 1759531551 Enrollment ID: I20121031000522 |
Provider Name | Grace Wen Kim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609004415 PECOS PAC ID: 7517103195 Enrollment ID: I20130426000640 |
Provider Name | Karen Steward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073853032 PECOS PAC ID: 0345487369 Enrollment ID: I20130513000093 |
Provider Name | Thriveni R Vellore |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225003270 PECOS PAC ID: 1052388436 Enrollment ID: I20130724000506 |
Provider Name | Atilio A Abreu Serrano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407087323 PECOS PAC ID: 9739319633 Enrollment ID: I20140220000060 |
Provider Name | Lee Kendall Edwards |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629366075 PECOS PAC ID: 9335367226 Enrollment ID: I20140908000711 |
Provider Name | Navnitkumar J Mehta |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619268588 PECOS PAC ID: 6800017989 Enrollment ID: I20141015001816 |
Provider Name | Diana S Look |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417196130 PECOS PAC ID: 6901128032 Enrollment ID: I20141201000922 |
Provider Name | Steven T Nguyen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780723346 PECOS PAC ID: 3678614674 Enrollment ID: I20150928001115 |
Provider Name | Howard R Bernstein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588715494 PECOS PAC ID: 9638470982 Enrollment ID: I20160824001004 |
Provider Name | Christina Linnea Rohren |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659722775 PECOS PAC ID: 6002101003 Enrollment ID: I20160829002720 |
Provider Name | Quang Dang Bui |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518954049 PECOS PAC ID: 6305829334 Enrollment ID: I20161025000459 |
Provider Name | Julie Sawyer |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1134687460 PECOS PAC ID: 5698016210 Enrollment ID: I20190409001657 |
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