| Paragon Primary Care Physicians, PA | |
|
20911 Kingsland Blvd Suite 100 Katy TX 77450-5548 | |
| (281) 579-3000 | |
| (281) 579-3001 |
| Full Name | Paragon Primary Care Physicians, PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 20911 Kingsland Blvd, Katy, Texas |
| Authorized Official Name and Position | Pallavolu N Reddy (MD) |
| Authorized Official Contact | 2815793000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paragon Primary Care Physicians, PA 20911 Kingsland Blvd Suite 100 Katy TX 77450-5548 Ph: (281) 579-3000 | Paragon Primary Care Physicians, PA 20911 Kingsland Blvd Suite 100 Katy TX 77450-5548 Ph: (281) 579-3000 |
| NPI Number | 1073588059 |
|---|---|
| Provider Enumeration Date | 02/22/2006 |
| Last Update Date | 08/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073588059 | NPI | - | NPPES |
| 096659002 | Medicaid | TX | |
| 10031462 | Other | TX | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K8452 (Texas) | Primary |
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