| Medagene Clinic , P.a. | |
|
5373 W Alabama St Houston TX 77056-5930 | |
| (713) 779-1633 | |
| Not Available |
| Full Name | Medagene Clinic , P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 5373 W Alabama St, Houston, Texas |
| Authorized Official Name and Position | Gonzalo Uribebotero (OWNER) |
| Authorized Official Contact | 7137791633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medagene Clinic , P.a. 9606 S Rice Ave Houston TX 77096-4136 Ph: (713) 779-1633 | Medagene Clinic , P.a. 5373 W Alabama St Houston TX 77056-5930 Ph: (713) 779-1633 |
| NPI Number | 1437194685 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 04/24/2026 |
| Medicare PECOS PAC ID | 9436384526 |
|---|---|
| Medicare Enrollment ID | O20131025001041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437194685 | NPI | - | NPPES |
| 137927302 | Medicaid | TX | |
| 45D0965514 | Other | TX | CLIA |
| Provider Name | Gonzalo Uribe Botero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023052164 PECOS PAC ID: 6002701364 Enrollment ID: I20040217000420 |
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