| Citrus Medical Inc | |
|
1500 S Dairy Ashford Rd Ste 130 Houston TX 77077-3861 | |
| (281) 624-6522 | |
| Not Available |
| Full Name | Citrus Medical Inc |
|---|---|
| Speciality | Case Management |
| Location | 1500 S Dairy Ashford Rd Ste 130, Houston, Texas |
| Authorized Official Name and Position | Henrietta Udunenwu (DIRECTOR) |
| Authorized Official Contact | 2816246522 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrus Medical Inc 5111 Travertine Pt Richmond TX 77407-4012 Ph: () - | Citrus Medical Inc 1500 S Dairy Ashford Rd Ste 130 Houston TX 77077-3861 Ph: (281) 624-6522 |
| NPI Number | 1760031843 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 09/05/2025 |
| Certification Date | 09/05/2025 |
| Medicare PECOS PAC ID | 5294165171 |
|---|---|
| Medicare Enrollment ID | O20200416001085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760031843 | NPI | - | NPPES |
| Provider Name | Inemesit Sampson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619353703 PECOS PAC ID: 7416267349 Enrollment ID: I20151105001057 |
| Provider Name | Henrietta O Udunenwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164893459 PECOS PAC ID: 9537459789 Enrollment ID: I20160601000783 |
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