Wellspring Medical Care Pllc | |
20171 Chasewood Park Dr Houston TX 77070-1437 | |
(612) 567-9160 | |
Not Available |
Full Name | Wellspring Medical Care Pllc |
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Speciality | Internal Medicine |
Location | 20171 Chasewood Park Dr, Houston, Texas |
Authorized Official Name and Position | Homaira Ahmed (OWNER) |
Authorized Official Contact | 6125679160 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wellspring Medical Care Pllc 14907 House Martin Ln Cypress TX 77429-7725 Ph: (612) 567-9160 | Wellspring Medical Care Pllc 20171 Chasewood Park Dr Houston TX 77070-1437 Ph: (612) 567-9160 |
NPI Number | 1427549831 |
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Provider Enumeration Date | 05/21/2018 |
Last Update Date | 10/27/2020 |
Medicare PECOS PAC ID | 7810234739 |
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Medicare Enrollment ID | O20190130000709 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427549831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | Q7823 (Texas) | Primary |
Provider Name | Homaira Ahmed |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1609139369 PECOS PAC ID: 1951681626 Enrollment ID: I20161215000838 |
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