| North Belt East Medical Clinic Pa | |
|
134 Vintage Park Blvd Ste A15 Houston TX 77070-3998 | |
| (281) 272-1743 | |
| (281) 272-1758 |
| Full Name | North Belt East Medical Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 134 Vintage Park Blvd Ste A15, Houston, Texas |
| Authorized Official Name and Position | Brannon George (OWNER) |
| Authorized Official Contact | 2812721743 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Belt East Medical Clinic Pa 134 Vintage Park Blvd Ste A15 Houston TX 77070-3998 Ph: (281) 272-1743 | North Belt East Medical Clinic Pa 134 Vintage Park Blvd Ste A15 Houston TX 77070-3998 Ph: (281) 272-1743 |
| NPI Number | 1386707917 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8628094984 |
|---|---|
| Medicare Enrollment ID | O20060313000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386707917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Brannon George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891093662 PECOS PAC ID: 9032380142 Enrollment ID: I20110921000786 |
| Provider Name | Curtis N Okpara |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306284203 PECOS PAC ID: 4880993997 Enrollment ID: I20170208003053 |
| Provider Name | Tawona Deshae Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609389998 PECOS PAC ID: 5395005383 Enrollment ID: I20180213001116 |
| Provider Name | Leshequa Gasper Bowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548865587 PECOS PAC ID: 7214170422 Enrollment ID: I20210212002085 |
| Provider Name | Aessa Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912591942 PECOS PAC ID: 7810342094 Enrollment ID: I20231006003302 |
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