| Premier Nw Houston Medical Group, Pa | |
|
7025 Fry Rd Ste 500 Cypress TX 77433-8150 | |
| (281) 758-1022 | |
| (281) 758-1032 |
| Full Name | Premier Nw Houston Medical Group, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7025 Fry Rd Ste 500, Cypress, Texas |
| Authorized Official Name and Position | Janette Nguyen (PHYSICIAN OWNER) |
| Authorized Official Contact | 2817581022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Nw Houston Medical Group, Pa Po Box 691524 Houston TX 77269-1524 Ph: (281) 758-1022 | Premier Nw Houston Medical Group, Pa 7025 Fry Rd Ste 500 Cypress TX 77433-8150 Ph: (281) 758-1022 |
| NPI Number | 1124115308 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 05/13/2022 |
| Medicare PECOS PAC ID | 7517969561 |
|---|---|
| Medicare Enrollment ID | O20070205000542 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124115308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M0840 (Texas) | Primary |
| Provider Name | Janette Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912994104 PECOS PAC ID: 7214961283 Enrollment ID: I20050920000970 |
| Provider Name | Hoan N Ngo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932171436 PECOS PAC ID: 7810917341 Enrollment ID: I20051129001014 |
| Provider Name | Brianne Addicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790983062 PECOS PAC ID: 6507938636 Enrollment ID: I20080708000070 |
| Provider Name | Hannah Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902319536 PECOS PAC ID: 8426302688 Enrollment ID: I20181107001734 |
| Provider Name | Analene Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306500020 PECOS PAC ID: 0749672368 Enrollment ID: I20220111002102 |
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