| Luis Rolando Fadrigo Jr, | |
|
1331 Northpark Dr, Kingwood, TX 77339-1636 | |
| (281) 359-5330 | |
| Not Available |
| Full Name | Luis Rolando Fadrigo Jr |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 1331 Northpark Dr, Kingwood, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225425549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SF0001X | Clinical Nurse Specialist - Family Health | AP127655 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP127655 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ucp Physicians Of Central Texas, Pllc | 3173697935 | 89 |
| Entity Name | Ucp Physicians Of Central Texas, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922289412 PECOS PAC ID: 3173697935 Enrollment ID: O20080729000203 |
| Mailing Address | Practice Location Address |
|---|---|
| Luis Rolando Fadrigo Jr, 24146 Blue Crest Dr, Porter, TX 77365 Ph: (361) 720-1310 | Luis Rolando Fadrigo Jr, 1331 Northpark Dr, Kingwood, TX 77339-1636 Ph: (281) 359-5330 |
Samantha Marie Herman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22710 Professional Dr Ste 203, Kingwood, TX 77339 Phone: 281-312-8530 Fax: 281-719-5916 | |
Mr. David Allen Powell, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22999 Highway 59 N, Kingwood, TX 77339 Phone: 281-348-8000 | |
Aminata Wane, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 201 Kingwood Medical Dr Ste A450, Kingwood, TX 77339 Phone: 832-701-0283 | |
Lindsay Raye Reuter, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2621 Sandy Lodge Ct, Kingwood, TX 77345 Phone: 985-778-5496 | |
Michael Pacifico Conde, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22999 Highway 59 N, Kingwood, TX 77339 Phone: 281-348-8000 | |
Catherine Anne Nixon, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22999 Us-59 N, Kingwood, TX 77339 Phone: 281-348-8300 | |
Darra Bayer, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22999 Highway 59 N, Kingwood, TX 77339 Phone: 281-348-8530 |