| Willowchase Medical Pllc | |
|
11427 Jones Rd Houston TX 77070-6309 | |
| (281) 748-9516 | |
| Not Available |
| Full Name | Willowchase Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11427 Jones Rd, Houston, Texas |
| Authorized Official Name and Position | Kim Nguyen (OFFICE MANAGER) |
| Authorized Official Contact | 2814694690 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willowchase Medical Pllc 11427 Jones Rd Houston TX 77070-6309 Ph: (281) 469-4690 | Willowchase Medical Pllc 11427 Jones Rd Houston TX 77070-6309 Ph: (281) 748-9516 |
| NPI Number | 1558976035 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 03/18/2021 |
| Medicare PECOS PAC ID | 1456762269 |
|---|---|
| Medicare Enrollment ID | O20201201000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558976035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Anthony H Phi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013913581 PECOS PAC ID: 7416118443 Enrollment ID: I20120418000287 |
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