1960 Physician Associates | |
837 Cypress Creek Pkwy Suite 105 Houston TX 77090-3423 | |
(281) 453-2585 | |
(281) 440-2020 |
Full Name | 1960 Physician Associates |
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Speciality | Clinic/Center |
Location | 837 Cypress Creek Pkwy, Houston, Texas |
Authorized Official Name and Position | Jennifer Sydenham (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 8327039060 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1960 Physician Associates 837 Cypress Creek Pkwy Ste 105 Houston TX 77090-3422 Ph: (281) 586-3888 | 1960 Physician Associates 837 Cypress Creek Pkwy Suite 105 Houston TX 77090-3423 Ph: (281) 453-2585 |
NPI Number | 1215391941 |
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Provider Enumeration Date | 04/08/2016 |
Last Update Date | 01/07/2020 |
Medicare PECOS PAC ID | 1153611975 |
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Medicare Enrollment ID | O20160608000027 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215391941 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Henry J Grainger |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1306892005 PECOS PAC ID: 0446146898 Enrollment ID: I20040224000823 |
Provider Name | Syed N Ahmed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255378352 PECOS PAC ID: 7315837879 Enrollment ID: I20040318000100 |
Provider Name | Dharmendra Verma |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1225142623 PECOS PAC ID: 3375548498 Enrollment ID: I20060925000225 |
Provider Name | Alan P Glombicki |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1669467395 PECOS PAC ID: 6800980749 Enrollment ID: I20101008001105 |
Provider Name | Jorge Guerrero |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912015975 PECOS PAC ID: 8628175601 Enrollment ID: I20110107000561 |
Provider Name | Sharad Sharma |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1831229152 PECOS PAC ID: 1951406792 Enrollment ID: I20110429000422 |
Provider Name | Jose W Aguirre |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205086311 PECOS PAC ID: 6305024241 Enrollment ID: I20110624000247 |
Provider Name | Srijaya Bandi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295907525 PECOS PAC ID: 2365615168 Enrollment ID: I20111021000393 |
Provider Name | Douglas W Lacour |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1245231398 PECOS PAC ID: 3072737907 Enrollment ID: I20140617000417 |
Provider Name | Christopher A Durham |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1699979419 PECOS PAC ID: 1951538453 Enrollment ID: I20150520002446 |
Provider Name | Victor Ivan Escobar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184983496 PECOS PAC ID: 7517268923 Enrollment ID: I20151208003187 |
Provider Name | Yasir Ahmed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1023308210 PECOS PAC ID: 2567772288 Enrollment ID: I20160407002218 |
Provider Name | Muhammad Farhan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184144289 PECOS PAC ID: 1658647656 Enrollment ID: I20171018002800 |
Provider Name | Salim K Durrani |
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Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1003105065 PECOS PAC ID: 3072889781 Enrollment ID: I20171025001293 |
Provider Name | Zubair B Mirza |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1245543578 PECOS PAC ID: 4688812712 Enrollment ID: I20180917000264 |
Provider Name | Anita V Leal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528534435 PECOS PAC ID: 8820332737 Enrollment ID: I20181204001956 |
Provider Name | Lynsi F Stilwell |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1386136414 PECOS PAC ID: 7719226158 Enrollment ID: I20190304000636 |
Provider Name | Hemali Haresh Patel |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1316392400 PECOS PAC ID: 5991030546 Enrollment ID: I20190718001483 |
Provider Name | Misty Leigh Haltom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508483397 PECOS PAC ID: 5597174458 Enrollment ID: I20210505000286 |
Provider Name | Steven Konstantin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275038457 PECOS PAC ID: 1153725684 Enrollment ID: I20210805002878 |
Provider Name | Amit Gupta |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1326190919 PECOS PAC ID: 0446302848 Enrollment ID: I20221003002196 |
Provider Name | Diana Lucia Franco Corso |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1033468699 PECOS PAC ID: 1355588328 Enrollment ID: I20240108004572 |
Provider Name | Demi Grisel Serrano |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1376235036 PECOS PAC ID: 3173979895 Enrollment ID: I20240531003593 |
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