| Medicus Primacare Management LLC | |
|
5625 Cypress Creek Pkwy Ste 504b Houston TX 77069-4212 | |
| (888) 870-6440 | |
| (888) 870-6440 |
| Full Name | Medicus Primacare Management LLC |
|---|---|
| Speciality | General Practice |
| Location | 5625 Cypress Creek Pkwy Ste 504b, Houston, Texas |
| Authorized Official Name and Position | Ryan Noel Dato Larroza (CEO) |
| Authorized Official Contact | 7739466068 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicus Primacare Management LLC 5625 Cypress Creek Pkwy Ste 504b Houston TX 77069-4212 Ph: (888) 870-6440 | Medicus Primacare Management LLC 5625 Cypress Creek Pkwy Ste 504b Houston TX 77069-4212 Ph: (888) 870-6440 |
| NPI Number | 1841144482 |
|---|---|
| Provider Enumeration Date | 02/23/2026 |
| Last Update Date | 02/23/2026 |
| Certification Date | 02/20/2026 |
| Medicare PECOS PAC ID | 9032686233 |
|---|---|
| Medicare Enrollment ID | O20260424002051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841144482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Julio C Olivieri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881605780 PECOS PAC ID: 4587667555 Enrollment ID: I20060811000089 |
| Provider Name | My Hien Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043858798 PECOS PAC ID: 4183052525 Enrollment ID: I20200409002481 |
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