| Nameless Medicine Pllc | |
|
1774 Lake Crest Ln Friendswood TX 77546-5784 | |
| (281) 446-8484 | |
| Not Available |
| Full Name | Nameless Medicine Pllc |
|---|---|
| Speciality | General Practice |
| Location | 1774 Lake Crest Ln, Friendswood, Texas |
| Authorized Official Name and Position | Stevley Mathews Koshy (PHYSICIAN) |
| Authorized Official Contact | 7132060153 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nameless Medicine Pllc 1774 Lake Crest Ln Friendswood TX 77546-5784 Ph: (713) 206-0153 | Nameless Medicine Pllc 1774 Lake Crest Ln Friendswood TX 77546-5784 Ph: (281) 446-8484 |
| NPI Number | 1063253789 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 06/02/2025 |
| Medicare PECOS PAC ID | 5092250795 |
|---|---|
| Medicare Enrollment ID | O20240717001491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063253789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Stevley M Koshy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659758993 PECOS PAC ID: 8224467642 Enrollment ID: I20230622003569 |
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