| Cognicare Texas Llc | |
|
12946 Dairy Ashford Rd Ste 230 Sugar Land TX 77478-3149 | |
| (314) 983-9355 | |
| Not Available |
| Full Name | Cognicare Texas Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12946 Dairy Ashford Rd Ste 230, Sugar Land, Texas |
| Authorized Official Name and Position | Jason Rhodes (OWNER) |
| Authorized Official Contact | 8323584820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cognicare Texas Llc 2215 Winged Foot Dr Missouri City TX 77459-3629 Ph: () - | Cognicare Texas Llc 12946 Dairy Ashford Rd Ste 230 Sugar Land TX 77478-3149 Ph: (314) 983-9355 |
| NPI Number | 1033987029 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 5799129243 |
|---|---|
| Medicare Enrollment ID | O20240223000144 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033987029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Cynthia O Obiofuma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750066817 PECOS PAC ID: 1951745405 Enrollment ID: I20240223000189 |
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