| Mr John Robert San Pedro Faustino, NURSE PRACTITIONER | |
|
18980 West Memorial Drive, Suite 100, Humble, TX 77338 | |
| (832) 644-8930 | |
| Not Available |
| Full Name | Mr John Robert San Pedro Faustino |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 18980 West Memorial Drive, Humble, 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 |
|---|---|---|---|
| 1922734755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 827204 (Texas) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 1071782 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hermann - Texas Medical Center | Houston, TX | Hospital |
| Memorial Hermann Memorial City Hospital | Houston, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hermann Medical Group | 7012008360 | 674 |
| Entity Name | Memorial Hermann Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003985102 PECOS PAC ID: 7012008360 Enrollment ID: O20070801000368 |
| Entity Name | Rajiv Agarwal Md Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720550015 PECOS PAC ID: 6305184011 Enrollment ID: O20190205000851 |
| Entity Name | Rajiv Agarwal Md Pa |
|---|---|
| Entity Type | Part B Supplier - Intensive Cardiac Rehabilitation |
| Entity Identifiers | NPI Number: 1598407017 PECOS PAC ID: 6305184011 Enrollment ID: O20230914001132 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John Robert San Pedro Faustino, NURSE PRACTITIONER 3501 Chenevert St Apt 11, Houston, TX 77004-4199 Ph: (818) 505-4857 | Mr John Robert San Pedro Faustino, NURSE PRACTITIONER 18980 West Memorial Drive, Suite 100, Humble, TX 77338 Ph: (832) 644-8930 |
Tyler Walker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1806 Humble Place Dr, Humble, TX 77338 Phone: 281-369-9514 | |
Monica S Jackson, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 93 Isaacks Rd, Humble, TX 77338 Phone: 281-446-7159 | |
Michael Chen, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18838 S Memorial Dr Ste 106, Humble, TX 77338 Phone: 713-338-6422 | |
Amanda Graff, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22999 Hwy 59 N, Humble, TX 77339 Phone: 281-348-8000 | |
Ruth W Nginyi, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17202 Spirit Falls Ct, Humble, TX 77346 Phone: 832-896-2836 | |
Kacy Hincapie, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18835 Mckay Dr, Humble, TX 77338 Phone: 832-644-8930 | |
Helen Jackson, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18980 N Memorial Dr Ste 280, Humble, TX 77338 Phone: 713-486-8180 Fax: 713-486-8190 |