| Katie Jo Kmiecik, FNP | |
|
23865 Fm 1314 Rd, Porter, TX 77365-3727 | |
| (281) 354-1815 | |
| Not Available |
| Full Name | Katie Jo Kmiecik |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 23865 Fm 1314 Rd, 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 |
|---|---|---|---|
| 1629461280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1107048 (Texas) | Primary |
| Entity Name | Unmc Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417912114 PECOS PAC ID: 6002728391 Enrollment ID: O20031104000664 |
| Entity Name | Physicians Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821049156 PECOS PAC ID: 4880506062 Enrollment ID: O20031105000345 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Jo Kmiecik, FNP 23865 Fm 1314 Rd, Porter, TX 77365-3727 Ph: (281) 354-1815 | Katie Jo Kmiecik, FNP 23865 Fm 1314 Rd, Porter, TX 77365-3727 Ph: (281) 354-1815 |
Oliva Bankston, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24375 Fm 1314 Rd, Porter, TX 77365 Phone: 281-354-5663 | |
Yanira Concepcion Hernandez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24420 Fm 1314 Rd, Porter, TX 77365 Phone: 281-577-5108 | |
Ms. Wanda Santini Tierno, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25553 U.s. Highway 59, Porter, TX 77365 Phone: 713-442-2100 | |
Ann Bakama, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 23865 Fm 1314 Rd, Porter, TX 77365 Phone: 281-354-1815 | |
Mrs. Kendal Shay Garza, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25553 Highway 59, Porter, TX 77365 Phone: 713-442-2100 | |
Lincy Abraham, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24917 Fm 1314 Rd, Porter, TX 77365 Phone: 713-461-2915 Fax: 713-461-5307 | |
Kristen Annette Brucker, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22006 Soft Pines Ct, Porter, TX 77365 Phone: 830-928-6518 |