| Ikp Family Medicine, P.a. | |
|
11026 Highway 242 Conroe TX 77385-4348 | |
| (281) 587-1700 | |
| (281) 907-6003 |
| Full Name | Ikp Family Medicine, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 11026 Highway 242, Conroe, Texas |
| Authorized Official Name and Position | Timothy Irvine (PRESIDENT/OWNER) |
| Authorized Official Contact | 2815871700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ikp Family Medicine, P.a. 21309 Foster Rd Ste 100 Spring TX 77388-4209 Ph: (281) 587-1700 | Ikp Family Medicine, P.a. 11026 Highway 242 Conroe TX 77385-4348 Ph: (281) 587-1700 |
| NPI Number | 1215191697 |
|---|---|
| Provider Enumeration Date | 07/15/2008 |
| Last Update Date | 03/10/2023 |
| Medicare PECOS PAC ID | 4284672478 |
|---|---|
| Medicare Enrollment ID | O20050419000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215191697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark D Westbrook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548258734 PECOS PAC ID: 8325930407 Enrollment ID: I20040325000499 |
| Provider Name | Timothy E Irvine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780607382 PECOS PAC ID: 0648218834 Enrollment ID: I20050419000641 |
| Provider Name | Alejandra Palmeros Irvine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154341915 PECOS PAC ID: 2163460353 Enrollment ID: I20050419000657 |
| Provider Name | Rohit K Kashyap |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942220728 PECOS PAC ID: 2860430055 Enrollment ID: I20050419000678 |
| Provider Name | Lady Box |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134563083 PECOS PAC ID: 9830332030 Enrollment ID: I20130906000291 |
| Provider Name | Colleen A Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942615786 PECOS PAC ID: 9537386628 Enrollment ID: I20140813002451 |
| Provider Name | Pratik Dilip Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235572686 PECOS PAC ID: 4284874645 Enrollment ID: I20171102000816 |
| Provider Name | Amy Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861966277 PECOS PAC ID: 7315286267 Enrollment ID: I20190312000143 |
| Provider Name | Lindsey Michelle Freed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396495669 PECOS PAC ID: 9436533585 Enrollment ID: I20220908002624 |
| Provider Name | Shannon Blackburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518689611 PECOS PAC ID: 4385010982 Enrollment ID: I20221024001320 |
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