| Medcomplete LLC | |
|
26717 Westheimer Pkwy Ste 103 Katy TX 77494-5374 | |
| (832) 838-4031 | |
| (832) 838-4032 |
| Full Name | Medcomplete LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 26717 Westheimer Pkwy Ste 103, Katy, Texas |
| Authorized Official Name and Position | Maridol Lopez (OFFICE MANAGER) |
| Authorized Official Contact | 8328384031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medcomplete LLC 26717 Westheimer Pkwy Unit 103 Katy TX 77494-8058 Ph: (832) 838-4031 | Medcomplete LLC 26717 Westheimer Pkwy Ste 103 Katy TX 77494-5374 Ph: (832) 838-4031 |
| NPI Number | 1790221505 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 10/15/2025 |
| Certification Date | 10/15/2025 |
| Medicare PECOS PAC ID | 0749566180 |
|---|---|
| Medicare Enrollment ID | O20170419000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790221505 | NPI | - | NPPES |
| AP123663 | Other | TX | MEDICARE |
| 364SX0200X | Other | TX | TAXONOMY |
| Provider Name | Mariama Sahor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407137672 PECOS PAC ID: 3678748472 Enrollment ID: I20150904001063 |
| Provider Name | Ifedapo Olubukola Sotubo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063000909 PECOS PAC ID: 6901203876 Enrollment ID: I20210920001366 |
| Provider Name | Chinaza J Ukaegbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861978843 PECOS PAC ID: 1052725025 Enrollment ID: I20230322002144 |
| Provider Name | Zinny Enzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407416845 PECOS PAC ID: 6103286364 Enrollment ID: I20230719002087 |
| Provider Name | Aji Haddy Sahor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891537692 PECOS PAC ID: 6608316971 Enrollment ID: I20240912004364 |
| Provider Name | Davina Godfrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821592429 PECOS PAC ID: 2668987314 Enrollment ID: I20250714000132 |
| Provider Name | Ibironke Irene Olawepo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285512350 PECOS PAC ID: 8527553478 Enrollment ID: I20251218002668 |
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