| Medical Office of Katy | |
|
410 W Grand Pkwy S Katy TX 77494-8361 | |
| (281) 599-9979 | |
| (281) 599-3540 |
| Full Name | Medical Office of Katy |
|---|---|
| Speciality | Internal Medicine |
| Location | 410 W Grand Pkwy S, Katy, Texas |
| Authorized Official Name and Position | Humera Naqvi (OWNER) |
| Authorized Official Contact | 5516556087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Office of Katy 410 W Grand Pkwy S Ste 320 Katy TX 77494-8361 | Medical Office of Katy 410 W Grand Pkwy S Katy TX 77494-8361 Ph: (281) 599-9979 |
| NPI Number | 1982362059 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Medicare PECOS PAC ID | 1052702636 |
|---|---|
| Medicare Enrollment ID | O20211216000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982362059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Humera M Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215247358 PECOS PAC ID: 0941473763 Enrollment ID: I20150202000437 |
| Provider Name | Maria Erlita Varela Dungo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457137739 PECOS PAC ID: 5496289977 Enrollment ID: I20241106001166 |
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