| Amg | |
|
26502 Crimson Bluff Ln Katy TX 77494-7655 | |
| (718) 844-3203 | |
| Not Available |
| Full Name | Amg |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 26502 Crimson Bluff Ln, Katy, Texas |
| Authorized Official Name and Position | Okwuchi V Adodo (OWNER) |
| Authorized Official Contact | 7188443203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amg 26502 Crimson Bluff Ln Katy TX 77494-7655 Ph: (718) 844-3203 | Amg 26502 Crimson Bluff Ln Katy TX 77494-7655 Ph: (718) 844-3203 |
| NPI Number | 1508338344 |
|---|---|
| Provider Enumeration Date | 12/18/2018 |
| Last Update Date | 02/13/2020 |
| Certification Date | 02/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508338344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (NU) | Secondary |
| 363L00000X | Nurse Practitioner | (NU) | Primary |
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