| Primary & Palliative Home Care, Pllc | |
|
8901 Emmett Lowry Expwy Suite A Texas City TX 77591 | |
| (281) 559-1122 | |
| (281) 559-1188 |
| Full Name | Primary & Palliative Home Care, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8901 Emmett Lowry Expwy Suite A, Texas City, Texas |
| Authorized Official Name and Position | Mary Maxwell (MD) |
| Authorized Official Contact | 4099331003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary & Palliative Home Care, Pllc 8901 Emmett Lowry Expwy Suite A Texas City TX 77591 Ph: (281) 559-1122 | Primary & Palliative Home Care, Pllc 8901 Emmett Lowry Expwy Suite A Texas City TX 77591 Ph: (281) 559-1122 |
| NPI Number | 1972067718 |
|---|---|
| Provider Enumeration Date | 01/25/2019 |
| Last Update Date | 01/14/2023 |
| Medicare PECOS PAC ID | 0547501272 |
|---|---|
| Medicare Enrollment ID | O20190408000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972067718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Lena R Bruce |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558322438 PECOS PAC ID: 9436170636 Enrollment ID: I20051215000616 |
| Provider Name | Nora I Valdes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124069406 PECOS PAC ID: 0941334080 Enrollment ID: I20100811000879 |
| Provider Name | Luis D Bernal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114478799 PECOS PAC ID: 7618255266 Enrollment ID: I20161102000249 |
| Provider Name | Derick Deason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528508025 PECOS PAC ID: 0547530057 Enrollment ID: I20170717001027 |
| Provider Name | Jacqualyn Sequeira Faigle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487262143 PECOS PAC ID: 4082032057 Enrollment ID: I20200909000224 |
| Provider Name | Lakisha Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336867407 PECOS PAC ID: 1052796075 Enrollment ID: I20220912002644 |
| Provider Name | Karin Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831856426 PECOS PAC ID: 3577937630 Enrollment ID: I20230313002943 |
| Provider Name | Angela Skye Kifer-thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578278487 PECOS PAC ID: 5496120610 Enrollment ID: I20230331000611 |
| Provider Name | Jennifer Fleming |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376097071 PECOS PAC ID: 3577938109 Enrollment ID: I20230412001197 |
| Provider Name | Moira C Thuney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568053171 PECOS PAC ID: 3476950346 Enrollment ID: I20231002002682 |
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