| Katy Diabetes And Endocrinology Pllc | |
|
26077 Nelson Way Ste 1201 Katy TX 77494-6698 | |
| (832) 437-6531 | |
| (832) 437-6548 |
| Full Name | Katy Diabetes And Endocrinology Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 26077 Nelson Way Ste 1201, Katy, Texas |
| Authorized Official Name and Position | Johanna Vivienne Leyco-policarpio (OWNER/PHYSICIAN) |
| Authorized Official Contact | 8324376531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Diabetes And Endocrinology Pllc 26077 Nelson Way Ste 1201 Katy TX 77494-6698 Ph: (832) 437-6531 | Katy Diabetes And Endocrinology Pllc 26077 Nelson Way Ste 1201 Katy TX 77494-6698 Ph: (832) 437-6531 |
| NPI Number | 1639881048 |
|---|---|
| Provider Enumeration Date | 12/16/2022 |
| Last Update Date | 12/16/2022 |
| Medicare PECOS PAC ID | 8022473776 |
|---|---|
| Medicare Enrollment ID | O20230502001320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639881048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Johanna Vivienne F Leyco-policarpio |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659508265 PECOS PAC ID: 7911155247 Enrollment ID: I20120912000094 |
| Provider Name | Noor Yazdanie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710378310 PECOS PAC ID: 5496048357 Enrollment ID: I20160729001032 |
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