WILCREST MEDICAL CLINIC INC. (NPI# 1508099136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508099136 |
| Entity Type | Organization |
| Organization Name | WILCREST MEDICAL CLINIC INC. |
| Practice Address |
11732 Wilcrest Drive Houston TX 77099-4757 |
| Mailing Address |
11732 S Wilcrest Dr Houston TX 77099-4757 |
| Practice Telephone | 2814984357 |
| Practice Fax Number | 2814984140 |
| Mailing Telephone | 2814984357 |
| Mailing Fax Number | 2814984140 |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-08-31 |
| Authorized Official Name | DR. RALPH F COLEMAN (PRESIDENT) |
| Authorized Official Telephone | 2814984357 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
E6756 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
11732 WILCREST DRIVE |
| City | HOUSTON |
| State | TX |
| Zip Code | 77099-4757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417566688 | Olajumoke Foluke Ajayi | Home Health | 9555 West Sam Houston Pwky S., 410, Houston, TX 77099 | 2020-07-23 |
| 1215580998 | Unity Adult Day Care | Health Maintenance Organization | 11522 South Drive, Houston, TX 77099 | 2019-07-22 |
| 1700340122 | Goshen Living Inc | Home Health | 11735 South Glen Drive #1003, Houston, TX 77099 | 2019-01-30 |
| 1306300140 | Nicanora Celsa Cuellar | Social Worker | 9810 West Sam Houston Parkway South, Suite 200, Houston, TX 77099 | 2019-01-25 |
| 1396223913 | Goshen Living Inc | Home Health | 11735 South Glen Drive, 1003, Houston, TX 77099 | 2018-08-06 |
| 1043724768 | Tj Brothers Pharmacy | Pharmacy | 10910 W. Bellfort Ave, Houston, TX 77099 | 2017-11-17 |
| 1427599042 | Patricio Gutierrez Magpali Jr. | Physical Therapist | 12030 Spring Grove Drive, Houston, TX 77099 | 2017-03-15 |
| 1790157709 | Rosemary Ngozi Ofili | Nurse Practitioner | 9644 Court Lane Drive, West Family Clinic, Houston, TX 77099 | 2015-10-29 |
| 1649670795 | Rochelle Ann Wright | Preferred Provider Organization | 11045 Lands Walk, 102, Houston, TX 77099 | 2014-08-26 |
| 1558792838 | Speaking Out Loud Speech Therapy Services, Pllc | Speech-Language Pathologist | 10960 Stancliff Road, Houston, TX 77099 | 2013-12-11 |
| Find all providers in zip 77099 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396379772 | Heights Total Wellness Clinic, Pllc | Family Medicine | 1801 Durham Dr Ste 4, Houston, TX 77007-2272 | 2020-02-25 |
| 1336537422 | Prabha Solanki | Family Medicine | 5850 Rogerdale, Questdiagnostics, Houston, TX 77072 | 2014-12-26 |
| 1619384963 | Paradigm Center for Integrative Medicine, Pllc | Family Medicine | 7505 Fannin St Ste 120, Houston, TX 77054-1929 | 2014-07-18 |
| 1922428994 | Susan Phan | Family Medicine | 929 Gessner Rd Ste 2450, Houston, TX 77024-2593 | 2014-04-17 |
| 1013268689 | Henry Eugene Ruehle | Family Medicine | 18315 Langsbury Dr, Houston, TX 77084-3947 | 2012-09-24 |
| 1164726956 | 290 Mangum Healthcare LLC | Family Medicine | 5005 W 34th St, Suite 102c, Houston, TX 77092-4200 | 2011-01-07 |
| 1821390907 | David N Ngene | Family Medicine | 10190 Harwin Dr, Ste C, Houston, TX 77036-1606 | 2010-11-23 |
| 1679731970 | Cheryl K. Johnson Md Pa | Family Medicine | 12121 Richmond Ave Ste 226, Houston, TX 77082-2454 | 2008-05-23 |
| 1376739185 | Afaf Z Shah | Family Medicine | 8840 Memorial Dr, Houston, TX 77024-5809 | 2007-09-15 |
| 1790988376 | Nilima Rai | Family Medicine | 2900 Weslayan St Ste 620, Houston, TX 77027-5273 | 2007-06-09 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.