Dr Nicholas Patrick Stetkevich, DO | |
15400 Southwest Fwy Ste 100, Sugar Land, TX 77478-3876 | |
(281) 494-7010 | |
(832) 825-3689 |
Full Name | Dr Nicholas Patrick Stetkevich |
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Gender | Male |
Speciality | Pediatrics - Sports Medicine |
Location | 15400 Southwest Fwy Ste 100, Sugar Land, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164803375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 007585 (Arizona) | Secondary |
208000000X | Pediatrics | S6061 (Texas) | Secondary |
2080S0010X | Pediatrics - Sports Medicine | S6061 (Texas) | Primary |
Entity Name | Texas Childrens Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861675506 PECOS PAC ID: 4385722081 Enrollment ID: O20080422000209 |
Mailing Address | Practice Location Address |
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Dr Nicholas Patrick Stetkevich, DO 2212 W Holcombe Blvd, Houston, TX 77030-2088 Ph: (408) 355-0924 | Dr Nicholas Patrick Stetkevich, DO 15400 Southwest Fwy Ste 100, Sugar Land, TX 77478-3876 Ph: (281) 494-7010 |
Dr. Kalpesh Harshad Thakkar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 17510 W Grand Pkwy S, Sugar Land, TX 77479 Phone: 281-725-5855 | |
Phillip Buckley Ribbeck, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15400 Southwest Fwy Ste 200, Sugar Land, TX 77478 Phone: 832-824-1000 | |
Dr. Nina Singhal, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13440 University Blvd Ste 150, Sugar Land, TX 77479 Phone: 281-207-9191 Fax: 281-207-9533 | |
Sameena Mohiuddin, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 17510 W Grand Pkwy S Ste 310, Sugar Land, TX 77479 Phone: 346-843-6470 Fax: 346-843-6475 | |
Shariar Akter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 17520 W Grand Pkwy S Ste 300, Sugar Land, TX 77479 Phone: 281-725-5855 Fax: 281-725-5872 | |
Surya K Battu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 17510 W Grand Pkwy S, Suite # 340, Sugar Land, TX 77479 Phone: 281-342-7111 Fax: 281-342-9111 | |
Dr. Vyju Ram, MD, F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5610 W River Park Dr, Suite A, Sugar Land, TX 77479 Phone: 281-494-8687 Fax: 281-494-5201 |