Walter J Family And Wellness Clinic Pllc | |
3129 Kingsley Dr Ste 1630 Pearland TX 77584-8510 | |
(832) 400-2118 | |
(832) 400-2119 |
Full Name | Walter J Family And Wellness Clinic Pllc |
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Speciality | Nurse Practitioner |
Location | 3129 Kingsley Dr Ste 1630, Pearland, Texas |
Authorized Official Name and Position | Faith N. Onyechefuna (OWNER OF ENTITY) |
Authorized Official Contact | 2817888103 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Walter J Family And Wellness Clinic Pllc 9115 Fm 723 Rd Ste 500 Richmond TX 77406-9235 Ph: (832) 400-2118 | Walter J Family And Wellness Clinic Pllc 3129 Kingsley Dr Ste 1630 Pearland TX 77584-8510 Ph: (832) 400-2118 |
NPI Number | 1649998675 |
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Provider Enumeration Date | 08/16/2022 |
Last Update Date | 10/03/2022 |
Medicare PECOS PAC ID | 9638545528 |
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Medicare Enrollment ID | O20221018001213 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649998675 | NPI | - | NPPES |
Provider Name | Faith Onyechefuna |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811388663 PECOS PAC ID: 2668791138 Enrollment ID: I20150505001196 |
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