| Kantacare Llc | |
|
10490 Huffmeister Rd Ste D Houston TX 77065-5654 | |
| (281) 477-7855 | |
| (281) 978-2135 |
| Full Name | Kantacare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10490 Huffmeister Rd Ste D, Houston, Texas |
| Authorized Official Name and Position | Vijay Chandulal Oza (OWNER) |
| Authorized Official Contact | 2814777855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kantacare Llc 10490 Huffmeister Rd Suite D Houston TX 77065-5653 Ph: (281) 552-8368 | Kantacare Llc 10490 Huffmeister Rd Ste D Houston TX 77065-5654 Ph: (281) 477-7855 |
| NPI Number | 1760762637 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 05/03/2020 |
| Medicare PECOS PAC ID | 1153597158 |
|---|---|
| Medicare Enrollment ID | O20111221000585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760762637 | NPI | - | NPPES |
| 305800001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N7320 (Texas) | Primary |
| Provider Name | Vijay Oza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144424516 PECOS PAC ID: 1456534049 Enrollment ID: I20110318000522 |
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