| The Virtual Primary-care Connection, Llc | |
|
15201 E. Freeway Service Rd. Suite #103 Suit 103 Channelview, TX 77530 | |
| (832) 312-6435 | |
| Not Available |
| Full Name | The Virtual Primary-care Connection, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 15201 E. Freeway Service Rd. Suite #103, Channelview,, Texas |
| Authorized Official Name and Position | Richard Wendell Walker, (CEO/FOUNDER) |
| Authorized Official Contact | 8326221624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Virtual Primary-care Connection, Llc 363 N. Sam Houston Pkwy E. Suite 1100 (c/o Larry Tew) Houston TX 77060 Ph: (832) 622-1624 | The Virtual Primary-care Connection, Llc 15201 E. Freeway Service Rd. Suite #103 Suit 103 Channelview, TX 77530 Ph: (832) 312-6435 |
| NPI Number | 1881297877 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 11/20/2020 |
| Medicare PECOS PAC ID | 7214340595 |
|---|---|
| Medicare Enrollment ID | O20210105002088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881297877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John E Slaughter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073500955 PECOS PAC ID: 1254391154 Enrollment ID: I20120109000339 |
| Provider Name | Bryan C Hasse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073614046 PECOS PAC ID: 3678583044 Enrollment ID: I20170110000068 |
| Provider Name | Cassandra Chidimma Eneremadu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013453711 PECOS PAC ID: 1557637717 Enrollment ID: I20171017000479 |
| Provider Name | Maiquel Rubio Rubio Pavon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568130490 PECOS PAC ID: 3375921471 Enrollment ID: I20220601002656 |
| Provider Name | Moira C Thuney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568053171 PECOS PAC ID: 3476950346 Enrollment ID: I20231002002682 |