| Village Physicians | |
|
9090 Gaylord Dr # 200 Houston TX 77024-2966 | |
| (832) 930-7877 | |
| Not Available |
| Full Name | Village Physicians |
|---|---|
| Speciality | Internal Medicine |
| Location | 9090 Gaylord Dr # 200, Houston, Texas |
| Authorized Official Name and Position | Nasiya Ahmed (OWNER) |
| Authorized Official Contact | 8329307877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Physicians 9090 Gaylord Dr # 200 Houston TX 77024-2966 Ph: (832) 930-7877 | Village Physicians 9090 Gaylord Dr # 200 Houston TX 77024-2966 Ph: (832) 930-7877 |
| NPI Number | 1902311012 |
|---|---|
| Provider Enumeration Date | 12/12/2017 |
| Last Update Date | 12/12/2017 |
| Medicare PECOS PAC ID | 0840558987 |
|---|---|
| Medicare Enrollment ID | O20171220000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902311012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | M6004 (Texas) | Primary |
| Provider Name | Nasiya N Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609080373 PECOS PAC ID: 2365533601 Enrollment ID: I20070801000285 |
| Provider Name | Kimberly Michelle Dodd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427578947 PECOS PAC ID: 4981946068 Enrollment ID: I20190422002200 |
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