| Peak Primary Care | |
|
2039 N. Mason Road Suite 601 Katy TX 77449 | |
| (281) 665-9296 | |
| Not Available |
| Full Name | Peak Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2039 N. Mason Road, Katy, Texas |
| Authorized Official Name and Position | Chelsea Bohac (ADMINISTRATOR) |
| Authorized Official Contact | 7135893775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peak Primary Care 2039 North Mason Road Suite 601 Katy TX 77449-7971 Ph: (713) 315-7427 | Peak Primary Care 2039 N. Mason Road Suite 601 Katy TX 77449 Ph: (281) 665-9296 |
| NPI Number | 1225795396 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/03/2022 |
| Medicare PECOS PAC ID | 0840685350 |
|---|---|
| Medicare Enrollment ID | O20220321000797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225795396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Chelsea Bohac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780108175 PECOS PAC ID: 7810382322 Enrollment ID: I20220321001440 |
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