| West University Internal Medicine, P.l.l.c. | |
|
3400 Bissonnet St Ste 100 Houston TX 77005-2153 | |
| (713) 662-2777 | |
| (713) 665-6227 |
| Full Name | West University Internal Medicine, P.l.l.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3400 Bissonnet St Ste 100, Houston, Texas |
| Authorized Official Name and Position | Elizabeth Y. Boehme (PARTNER/PHYSICIAN) |
| Authorized Official Contact | 7133752904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West University Internal Medicine, P.l.l.c. 3400 Bissonnet St Ste 100 Houston TX 77005-2153 Ph: (713) 662-2777 | West University Internal Medicine, P.l.l.c. 3400 Bissonnet St Ste 100 Houston TX 77005-2153 Ph: (713) 662-2777 |
| NPI Number | 1235232034 |
|---|---|
| Provider Enumeration Date | 09/07/2006 |
| Last Update Date | 11/05/2010 |
| Medicare PECOS PAC ID | 3173509049 |
|---|---|
| Medicare Enrollment ID | O20040629001637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235232034 | NPI | - | NPPES |
| 077160 | Other | TX | AETNA HMO |
| DA5058 | Other | TX | RAILROAD MEDICARE |
| 085785601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Trang A Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912935164 PECOS PAC ID: 8123192531 Enrollment ID: I20080804000126 |
| Provider Name | Elizabeth Y Boehme |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184715401 PECOS PAC ID: 7618953589 Enrollment ID: I20110301001031 |
| Provider Name | Albert H Braden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639260920 PECOS PAC ID: 1557257730 Enrollment ID: I20110301001045 |
| Provider Name | Laurie B Feuer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730270075 PECOS PAC ID: 0345226213 Enrollment ID: I20110314000571 |
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