| West Houston Infectious Disease Associates | |
|
1331 W Grand Parkway N Suite 310 Katy TX 77493-2735 | |
| (281) 599-3222 | |
| (281) 599-3016 |
| Full Name | West Houston Infectious Disease Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 1331 W Grand Parkway N, Katy, Texas |
| Authorized Official Name and Position | Carson Tan Lo (PRESIDENT) |
| Authorized Official Contact | 2815993222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Houston Infectious Disease Associates Po Box 19814 Houston TX 77224-9814 Ph: (281) 599-3222 | West Houston Infectious Disease Associates 1331 W Grand Parkway N Suite 310 Katy TX 77493-2735 Ph: (281) 599-3222 |
| NPI Number | 1710045554 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 10/12/2007 |
| Medicare PECOS PAC ID | 0345336152 |
|---|---|
| Medicare Enrollment ID | O20071009000898 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710045554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | K0112 (Texas) | Primary |
| Provider Name | Linda S Yancey |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992759070 PECOS PAC ID: 5991703274 Enrollment ID: I20061121000157 |
| Provider Name | Carson Tan Lo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164483293 PECOS PAC ID: 8325134133 Enrollment ID: I20110615000835 |
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