| Bissonnet Medical Center Pa | |
|
11327 Bissonnet St Houston TX 77099-2049 | |
| (281) 575-6700 | |
| (281) 564-1800 |
| Full Name | Bissonnet Medical Center Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 11327 Bissonnet St, Houston, Texas |
| Authorized Official Name and Position | Muhammad Y Shaikh (PRINCIPAL OFFICER) |
| Authorized Official Contact | 2815756700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bissonnet Medical Center Pa 11327 Bissonnet St Houston TX 77099-2049 Ph: (281) 575-6700 | Bissonnet Medical Center Pa 11327 Bissonnet St Houston TX 77099-2049 Ph: (281) 575-6700 |
| NPI Number | 1164620415 |
|---|---|
| Provider Enumeration Date | 07/09/2007 |
| Last Update Date | 07/09/2007 |
| Medicare PECOS PAC ID | 2860653953 |
|---|---|
| Medicare Enrollment ID | O20120417000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164620415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | K4240 (Texas) | Primary |
| Provider Name | Muhammad Y. Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649309980 PECOS PAC ID: 5799780508 Enrollment ID: I20120417000467 |
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