| Mr Max Wilmot, PHYSICIAN ASSISTANT | |
|
6621 Fannin St, Houston, TX 77030-2399 | |
| (832) 822-4602 | |
| Not Available |
| Full Name | Mr Max Wilmot |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 6621 Fannin St, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871117135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA15725 (Texas) | Primary |
| 208000000X | Pediatrics | 0010-10046 (North Carolina) | Secondary |
| Entity Name | Texas Childrens Physician Group |
|---|---|
| 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 |
|---|---|
| Mr Max Wilmot, PHYSICIAN ASSISTANT 4100 Greenbriar Dr Apt 463, Houston, TX 77098-5539 Ph: (404) 862-6033 | Mr Max Wilmot, PHYSICIAN ASSISTANT 6621 Fannin St, Houston, TX 77030-2399 Ph: (832) 822-4602 |
Juliette A. Zumwalt, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7401 S. Main, Houston, TX 77030 Phone: 713-799-2300 Fax: 713-794-3380 |
Kaye-ann Antonette Christie, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1504 Taub Loop, Houston, TX 77030 Phone: 713-873-2000 |
Letosha Mcclellan, CST/CFA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7324 Sw Freeway, Suite 1550, Suite 250, Houston, TX 77074 Phone: 713-779-9800 Fax: 713-779-9813 |
Mrs. Rachel Kramer Futrell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 |
Emily Marie Webster, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1504 Taub Loop, Houston, TX 77030 Phone: 713-873-8890 |
Erica Jimenez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 |
Nina Rajendra Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 |