| Sangon Investments Llc | |
|
3008 Blodgett St Houston TX 77004-5304 | |
| (832) 869-2921 | |
| Not Available |
| Full Name | Sangon Investments Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3008 Blodgett St, Houston, Texas |
| Authorized Official Name and Position | Gerald Jones (DIRECTOR) |
| Authorized Official Contact | 8328692921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sangon Investments Llc 3008 Blodgett St Houston TX 77004-5304 Ph: () - | Sangon Investments Llc 3008 Blodgett St Houston TX 77004-5304 Ph: (832) 869-2921 |
| NPI Number | 1629837026 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Medicare PECOS PAC ID | 6103265707 |
|---|---|
| Medicare Enrollment ID | O20240416000973 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629837026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Funmilayo T Akinrimisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184281560 PECOS PAC ID: 5395170765 Enrollment ID: I20200113000558 |
| Provider Name | Jessy Cecil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255045233 PECOS PAC ID: 8224488168 Enrollment ID: I20231219001951 |
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