| Willy Pezzia Md Pa | |
|
714 S Peek Rd Katy TX 77450-3181 | |
| (281) 395-3955 | |
| (281) 395-3959 |
| Full Name | Willy Pezzia Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 714 S Peek Rd, Katy, Texas |
| Authorized Official Name and Position | Willy Pezzia (OWNER) |
| Authorized Official Contact | 2813953955 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willy Pezzia Md Pa 714 S Peek Rd Katy TX 77450-3181 Ph: (281) 395-3955 | Willy Pezzia Md Pa 714 S Peek Rd Katy TX 77450-3181 Ph: (281) 395-3955 |
| NPI Number | 1043227697 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 12/03/2009 |
| Medicare PECOS PAC ID | 7214938646 |
|---|---|
| Medicare Enrollment ID | O20070126000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043227697 | NPI | - | NPPES |
| 092197501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | E3750 (Texas) | Primary |
| Provider Name | Willy Pezzia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982604575 PECOS PAC ID: 4385645712 Enrollment ID: I20070220000158 |
| Provider Name | Linda L Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245449511 PECOS PAC ID: 8224112347 Enrollment ID: I20080228000299 |
| Provider Name | Ankur Sarkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205869633 PECOS PAC ID: 1153486493 Enrollment ID: I20090219000495 |
| Provider Name | Raymond Dayle Donato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184083792 PECOS PAC ID: 1759660186 Enrollment ID: I20161108000361 |
| Provider Name | Esther Nyarko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912286659 PECOS PAC ID: 2163703935 Enrollment ID: I20170110002268 |
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