| Marise Kelly, M.d., P.a. | |
|
900 Broadway St Houston TX 77012-2127 | |
| (713) 928-2774 | |
| (713) 928-2781 |
| Full Name | Marise Kelly, M.d., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Broadway St, Houston, Texas |
| Authorized Official Name and Position | Marise Kelly (DIRECTOR) |
| Authorized Official Contact | 7139282774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marise Kelly, M.d., P.a. 900 Broadway St Houston TX 77012-2127 Ph: (713) 928-2774 | Marise Kelly, M.d., P.a. 900 Broadway St Houston TX 77012-2127 Ph: (713) 928-2774 |
| NPI Number | 1790010064 |
|---|---|
| Provider Enumeration Date | 10/05/2009 |
| Last Update Date | 05/27/2011 |
| Medicare PECOS PAC ID | 0840334272 |
|---|---|
| Medicare Enrollment ID | O20100223000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790010064 | NPI | - | NPPES |
| 219659401 | Medicaid | TX | |
| 219659402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J9727 (Texas) | Primary |
| Provider Name | Marise Kelly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124056304 PECOS PAC ID: 5991863482 Enrollment ID: I20081028000537 |
| Provider Name | Nsuela Mukana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427284017 PECOS PAC ID: 3072788322 Enrollment ID: I20111214000870 |
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