| Infectious Diseases Consultants Of Northwest Houston Pllc | |
|
21212 Northwest Fwy Ste 435 Cypress TX 77429-5887 | |
| (713) 775-8914 | |
| (832) 500-8683 |
| Full Name | Infectious Diseases Consultants Of Northwest Houston Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 21212 Northwest Fwy Ste 435, Cypress, Texas |
| Authorized Official Name and Position | Stephanie B Pankow (PROVIDER) |
| Authorized Official Contact | 7137758914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infectious Diseases Consultants Of Northwest Houston Pllc 10703 Winding Arbor Ct Cypress TX 77433-7136 Ph: (713) 775-8914 | Infectious Diseases Consultants Of Northwest Houston Pllc 21212 Northwest Fwy Ste 435 Cypress TX 77429-5887 Ph: (713) 775-8914 |
| NPI Number | 1558000836 |
|---|---|
| Provider Enumeration Date | 06/03/2022 |
| Last Update Date | 11/12/2025 |
| Medicare PECOS PAC ID | 4486039104 |
|---|---|
| Medicare Enrollment ID | O20220916000985 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558000836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Stephanie Pankow |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437531126 PECOS PAC ID: 6507170438 Enrollment ID: I20200916003307 |
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