Zazen Medical Group Pllc | |
25230 Kingsland Blvd Ste 102 Katy TX 77494 | |
(832) 304-2004 | |
Not Available |
Full Name | Zazen Medical Group Pllc |
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Speciality | Internal Medicine |
Location | 25230 Kingsland Blvd Ste 102, Katy, Texas |
Authorized Official Name and Position | Renata Pereira (ADMINISTRATOR) |
Authorized Official Contact | 9795491131 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Zazen Medical Group Pllc 25230 Kingsland Blvd Ste 102 Katy TX 77494 Ph: (832) 304-2004 | Zazen Medical Group Pllc 25230 Kingsland Blvd Ste 102 Katy TX 77494 Ph: (832) 304-2004 |
NPI Number | 1699273144 |
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Provider Enumeration Date | 01/30/2018 |
Last Update Date | 08/29/2018 |
Medicare PECOS PAC ID | 5496018467 |
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Medicare Enrollment ID | O20180405000333 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699273144 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Radha A Tamerisa |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1366440653 PECOS PAC ID: 0244234201 Enrollment ID: I20060905000394 |
Provider Name | Vivian A Asamoah |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1326191081 PECOS PAC ID: 3678745296 Enrollment ID: I20111004000315 |
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