| Psm1 Management Llc | |
|
2121 Williams Trace Blvd Ste 300 Sugar Land TX 77478-4526 | |
| (281) 747-7620 | |
| (281) 747-7621 |
| Full Name | Psm1 Management Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2121 Williams Trace Blvd Ste 300, Sugar Land, Texas |
| Authorized Official Name and Position | Pawan Pandya (ADMINISTRATOR) |
| Authorized Official Contact | 4097793138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psm1 Management Llc 2121 Williams Trace Blvd Sugar Land TX 77478-4526 Ph: (281) 747-7620 | Psm1 Management Llc 2121 Williams Trace Blvd Ste 300 Sugar Land TX 77478-4526 Ph: (281) 747-7620 |
| NPI Number | 1710739719 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 12/11/2024 |
| Medicare PECOS PAC ID | 4587196704 |
|---|---|
| Medicare Enrollment ID | O20241014001006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710739719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
| Provider Name | Rajnikant R Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831105790 PECOS PAC ID: 3173512324 Enrollment ID: I20040511001519 |
| Provider Name | Marcel D Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265593875 PECOS PAC ID: 3678674439 Enrollment ID: I20070723000866 |
| Provider Name | Porsha Melcher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437568136 PECOS PAC ID: 3577825991 Enrollment ID: I20230413003026 |
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