| Southwest Family Clinic Pc | |
|
3003 S Loop W Ste 555 Houston TX 77054-1378 | |
| (713) 433-4536 | |
| (713) 433-6708 |
| Full Name | Southwest Family Clinic Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3003 S Loop W Ste 555, Houston, Texas |
| Authorized Official Name and Position | E. Chinyere Nwanna (PROVIDER) |
| Authorized Official Contact | 7134334536 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Family Clinic Pc 3003 S Loop W Ste 555 Houston TX 77054-1378 Ph: (713) 433-4563 | Southwest Family Clinic Pc 3003 S Loop W Ste 555 Houston TX 77054-1378 Ph: (713) 433-4536 |
| NPI Number | 1619285996 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 09/25/2023 |
| Medicare PECOS PAC ID | 3870787021 |
|---|---|
| Medicare Enrollment ID | O20101101001279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619285996 | NPI | - | NPPES |
| 282911101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | E. Chinyere Nwanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073746566 PECOS PAC ID: 5890889018 Enrollment ID: I20101101001450 |
| Provider Name | Mark E Hennessy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194784728 PECOS PAC ID: 5890886832 Enrollment ID: I20110131000943 |
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