| Platinum Geriatrics Associates P A | |
|
15200 Southwest Fwy Ste 200 Sugar Land TX 77478-3863 | |
| (281) 201-8463 | |
| Not Available |
| Full Name | Platinum Geriatrics Associates P A |
|---|---|
| Speciality | Family Medicine |
| Location | 15200 Southwest Fwy Ste 200, Sugar Land, Texas |
| Authorized Official Name and Position | Owen Calapano Capocyan (PRESIDENT) |
| Authorized Official Contact | 8322026600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Platinum Geriatrics Associates P A 714 Moss Hammock Way Sugar Land TX 77479-4326 Ph: (832) 202-6600 | Platinum Geriatrics Associates P A 15200 Southwest Fwy Ste 200 Sugar Land TX 77478-3863 Ph: (281) 201-8463 |
| NPI Number | 1326398959 |
|---|---|
| Provider Enumeration Date | 09/11/2012 |
| Last Update Date | 09/17/2019 |
| Medicare PECOS PAC ID | 4587995766 |
|---|---|
| Medicare Enrollment ID | O20191021000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326398959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Owen Capocyan |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1063695328 PECOS PAC ID: 7315005832 Enrollment ID: I20081027000733 |
| Provider Name | Shruti R Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912467911 PECOS PAC ID: 0749513042 Enrollment ID: I20190530003018 |
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