| Journey Medical Care Group Pllc | |
|
8313 Southwest Fwy Ste 105 Houston TX 77074-1612 | |
| (713) 773-1102 | |
| (832) 369-7355 |
| Full Name | Journey Medical Care Group Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 8313 Southwest Fwy Ste 105, Houston, Texas |
| Authorized Official Name and Position | Peter Jian (CEO) |
| Authorized Official Contact | 8322263376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Medical Care Group Pllc 8313 Southwest Fwy Ste 105 Houston TX 77074-1612 Ph: (713) 773-1102 | Journey Medical Care Group Pllc 8313 Southwest Fwy Ste 105 Houston TX 77074-1612 Ph: (713) 773-1102 |
| NPI Number | 1144061664 |
|---|---|
| Provider Enumeration Date | 06/06/2024 |
| Last Update Date | 06/06/2024 |
| Medicare PECOS PAC ID | 8628512613 |
|---|---|
| Medicare Enrollment ID | O20240701004199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144061664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ying He |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790814812 PECOS PAC ID: 2365425063 Enrollment ID: I20040612000088 |
| Provider Name | Patrice D Barnum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215096029 PECOS PAC ID: 3577536226 Enrollment ID: I20040819000579 |
| Provider Name | Khoa D Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437146966 PECOS PAC ID: 8123079647 Enrollment ID: I20050202000362 |
| Provider Name | Shuchen Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689710444 PECOS PAC ID: 0840393898 Enrollment ID: I20070312000260 |
| Provider Name | Crislyn K Stokes Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619113750 PECOS PAC ID: 5395877724 Enrollment ID: I20100720000554 |
| Provider Name | Maria Md La Cruz Rondon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255596342 PECOS PAC ID: 1850603093 Enrollment ID: I20150701000878 |
| Provider Name | Peter Jian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235420183 PECOS PAC ID: 7517277296 Enrollment ID: I20151109001977 |
| Provider Name | Mickey Teemnah Omole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598182958 PECOS PAC ID: 3779707047 Enrollment ID: I20170805000072 |
| Provider Name | Jessica Lauren Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598397515 PECOS PAC ID: 1951711829 Enrollment ID: I20201104000534 |
| Provider Name | Chasity Clough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922703438 PECOS PAC ID: 8527423979 Enrollment ID: I20230508002265 |
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