| Complete Care Physicians | |
|
25314 Kingsland Blvd Katy TX 77494-7254 | |
| (832) 508-6632 | |
| (832) 437-1640 |
| Full Name | Complete Care Physicians |
|---|---|
| Speciality | Clinic/Center |
| Location | 25314 Kingsland Blvd, Katy, Texas |
| Authorized Official Name and Position | Shruja Patel (PRESIDENT/OWNER) |
| Authorized Official Contact | 8325086632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Care Physicians 25314 Kingsland Blvd Katy TX 77494-7254 Ph: (832) 508-6632 | Complete Care Physicians 25314 Kingsland Blvd Katy TX 77494-7254 Ph: (832) 508-6632 |
| NPI Number | 1669006771 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/27/2023 |
| Medicare PECOS PAC ID | 6507297298 |
|---|---|
| Medicare Enrollment ID | O20200513001643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669006771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Shruja P Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467708883 PECOS PAC ID: 0941516991 Enrollment ID: I20150904002064 |
| Provider Name | Poonum Pankajkumar Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245850726 PECOS PAC ID: 3072935691 Enrollment ID: I20230918000246 |
| Provider Name | April Shin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407639040 PECOS PAC ID: 1759736317 Enrollment ID: I20231121000128 |
| Provider Name | Cesar Anthony Calvo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891436028 PECOS PAC ID: 6901283423 Enrollment ID: I20251117003325 |
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