| Kingspoint Home Visiting Physicians | |
|
14200 Gulf Fwy Houston TX 77034-5369 | |
| (832) 774-1330 | |
| Not Available |
| Full Name | Kingspoint Home Visiting Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 14200 Gulf Fwy, Houston, Texas |
| Authorized Official Name and Position | Bertrand K Ebang (MANAGING PARTNER) |
| Authorized Official Contact | 8327741330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingspoint Home Visiting Physicians 10 Santa Clarita Cir Manvel TX 77578-3352 Ph: (832) 774-1330 | Kingspoint Home Visiting Physicians 14200 Gulf Fwy Houston TX 77034-5369 Ph: (832) 774-1330 |
| NPI Number | 1497430128 |
|---|---|
| Provider Enumeration Date | 06/20/2023 |
| Last Update Date | 06/27/2024 |
| Medicare PECOS PAC ID | 3971046764 |
|---|---|
| Medicare Enrollment ID | O20240621000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497430128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard Ekwoge Ngole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104376177 PECOS PAC ID: 3476611047 Enrollment ID: I20171002002689 |
| Provider Name | Michael O Falaye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912492943 PECOS PAC ID: 5799192878 Enrollment ID: I20220630000109 |
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