| Westlake Medical Clinic | |
|
2430 Fry Rd Ste 100 Houston TX 77084-5831 | |
| (281) 829-3999 | |
| (281) 829-5146 |
| Full Name | Westlake Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2430 Fry Rd Ste 100, Houston, Texas |
| Authorized Official Name and Position | Phong Nguyen (PRESIDENT) |
| Authorized Official Contact | 2818293999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westlake Medical Clinic 2430 Fry Rd Ste 100 Houston TX 77084-5831 Ph: (281) 829-3999 | Westlake Medical Clinic 2430 Fry Rd Ste 100 Houston TX 77084-5831 Ph: (281) 829-3999 |
| NPI Number | 1447591029 |
|---|---|
| Provider Enumeration Date | 03/07/2013 |
| Last Update Date | 06/22/2022 |
| Medicare PECOS PAC ID | 5799080537 |
|---|---|
| Medicare Enrollment ID | O20160216002459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447591029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Phong H Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952345506 PECOS PAC ID: 2769489491 Enrollment ID: I20061023000211 |
| Provider Name | Vu Dinh To |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346622230 PECOS PAC ID: 0143580423 Enrollment ID: I20180206000542 |
| Provider Name | Valerie Michelle Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336722925 PECOS PAC ID: 1052720893 Enrollment ID: I20210507002087 |
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