| Jasmine Pettiford, MD | |
|
25553 Us Highway 59, Porter, TX 77365-5500 | |
| (713) 442-2100 | |
| Not Available |
| Full Name | Jasmine Pettiford |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 25553 Us Highway 59, Porter, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447602685 | NPI | - | NPPES |
| 402630402 | Medicaid | TX | |
| 402630401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | S2874 (Texas) | Primary |
| Entity Name | Kelsey-seybold Medical Group, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013915255 PECOS PAC ID: 9739093527 Enrollment ID: O20031117000204 |
| Mailing Address | Practice Location Address |
|---|---|
| Jasmine Pettiford, MD 11511 Shadow Creek Pkwy, Pearland, TX 77584-7298 Ph: (713) 442-0000 | Jasmine Pettiford, MD 25553 Us Highway 59, Porter, TX 77365-5500 Ph: (713) 442-2100 |
Dr. Randall Kwarteng Roland, D.O Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21898 Fm 1314 Rd Ste B, Porter, TX 77365 Phone: 281-354-2417 | |
Son Hai Nguyen, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 25553 Highway 59, Porter, TX 77365 Phone: 713-442-2100 | |
Nida Zaib Momin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25553 Highway 59, Porter, TX 77365 Phone: 713-442-2100 | |
Bazgha Khalid, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25553 Us Highway 59, Porter, TX 77365 Phone: 713-442-2100 | |
Dr. Paul Andrew O'leary, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25553 Us Highway 59, Porter, TX 77365 Phone: 713-442-2100 |