| Memorial Pulmonology Pa | |
|
10837 Katy Fwy Suite 100 Houston TX 77079-2207 | |
| (832) 325-1200 | |
| (713) 984-8260 |
| Full Name | Memorial Pulmonology Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10837 Katy Fwy, Houston, Texas |
| Authorized Official Name and Position | Anatoli N Krasko (DIRECTOR) |
| Authorized Official Contact | 8323251200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Pulmonology Pa 10837 Katy Fwy Suite 100 Houston TX 77079-2207 Ph: (832) 325-1200 | Memorial Pulmonology Pa 10837 Katy Fwy Suite 100 Houston TX 77079-2207 Ph: (832) 325-1200 |
| NPI Number | 1093993909 |
|---|---|
| Provider Enumeration Date | 02/01/2008 |
| Last Update Date | 04/24/2014 |
| Medicare PECOS PAC ID | 2860410248 |
|---|---|
| Medicare Enrollment ID | O20051103000913 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093993909 | NPI | - | NPPES |
| 178025601 | Medicaid | TX |
| Provider Name | Anatoli N Krasko |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215962733 PECOS PAC ID: 5799673414 Enrollment ID: I20040305000251 |
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