| Orsak Medical Association | |
|
300 E Edgewood Dr Friendswood TX 77546-3823 | |
| (281) 485-9034 | |
| (281) 485-9807 |
| Full Name | Orsak Medical Association |
|---|---|
| Speciality | Family Medicine |
| Location | 300 E Edgewood Dr, Friendswood, Texas |
| Authorized Official Name and Position | Glenn Thomas Orsak (OWNER) |
| Authorized Official Contact | 2814859034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orsak Medical Association 300 E Edgewood Dr Friendswood TX 77546-3823 Ph: (281) 485-9034 | Orsak Medical Association 300 E Edgewood Dr Friendswood TX 77546-3823 Ph: (281) 485-9034 |
| NPI Number | 1407079585 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 02/25/2020 |
| Medicare PECOS PAC ID | 9537134242 |
|---|---|
| Medicare Enrollment ID | O20040826001276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407079585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J7827 (Texas) | Primary |
| Provider Name | Glenn T Orsak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174528822 PECOS PAC ID: 6204869670 Enrollment ID: I20080321000265 |
| Provider Name | Erin E Pettey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245677087 PECOS PAC ID: 4880836667 Enrollment ID: I20130807000139 |
| Provider Name | Shannon Leigh Winn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255570271 PECOS PAC ID: 4789713884 Enrollment ID: I20170117000755 |
| Provider Name | Madeline Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376151068 PECOS PAC ID: 6204250095 Enrollment ID: I20200727002646 |
| Provider Name | Victoria Emily Henye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831717099 PECOS PAC ID: 2062838642 Enrollment ID: I20200813000070 |
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