Latricia Trena Willis Gillis (NPI# 1699934463, PAC ID# 5597830836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699934463 |
| PAC ID by PECOS | 5597830836 |
| Professional Enrollment ID | I20080820000581 |
| Full Name | Latricia Trena Willis Gillis |
| Organization Legal Name | PROFESSIONAL IMAGING LLC |
| Address |
1717 Rotary Dr Humble TX 77338-5235 |
| Phone Number | 2812726277 |
| Gender | F |
| Medical School | BAYLOR COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7012975527 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5710 Wooster Pike, Suite 102, Cincinnati, OH 45227-4520 | 5137130069 | MIDWEST DYSPHAGIA CONSULTANTS LLC |
| 1717 Dixie Hwy, Suite 410, Ft Wright, KY 41011-2766 | 5137130069 | MIDWEST DYSPHAGIA CONSULTANTS LLC |
| 1717 Rotary Dr, Humble, TX 77338-5235 | 2812726277 | PROFESSIONAL IMAGING LLC |
| 333 N Alabama St, Suite 350, Indianapolis, IN 46204-2275 | 5137130069 | MIDWEST DYSPHAGIA CONSULTANTS LLC |
| 36 Valley Dr, M374, Lawrenceburg, IN 47025-1084 | 8125370930 | MIDWEST DYSPHAGIA CONSULTANTS LLC |
| Organization Legal Name | PROFESSIONAL IMAGING LLC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina L. Carnes | Pediatric Medicine | Professional Imaging LLC | 1717 Rotary Dr, Humble, TX 77338-5235 |
| Abel E Salazar Sr. | Emergency Medicine | Professional Imaging LLC | 523 N Sam Houston Pkwy E, Suite 125, Houston, TX 77060-4011 |
| Andrew De La Garza | Family Medicine | Professional Imaging LLC | 523 N Sam Houston Pkwy E, Suite 125, Houston, TX 77060-4011 |
| Dimitri Latoni | General Practice | Professional Imaging LLC | 1717 Rotary Dr, Humble, TX 77338-5235 |
| Donna Gail Joule | Family Medicine | Professional Imaging LLC | 523 N Sam Houston Pkwy E, Suite 125, Houston, TX 77060-4011 |
| Gregory L Smith | Plastic and Reconstructive Surgery | Professional Imaging LLC | 523 N Sam Houston Pkwy E, Suite 125, Houston, TX 77060-4011 |
| Ronnie C. Wiedower | Diagnostic Radiology | Professional Imaging LLC | 1717 Rotary Dr, Humble, TX 77338-5235 |
| Thomas S Falvey Iii | Internal Medicine | Professional Imaging LLC | 1717 Rotary Dr, Humble, TX 77338-5235 |
| Cheryl J King | Internal Medicine | Professional Imaging LLC | 1717 Rotary Dr, Humble, TX 77338-5235 |
| Mary Elizabeth Prentice | Obstetrics/gynecology | Professional Imaging LLC | 523 N Sam Houston Pkwy E, Suite 125, Houston, TX 77060-4011 |
| Street Address |
1717 ROTARY DR |
| City | HUMBLE |
| State | TX |
| Zip | 77338-5235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina L. Carnes | Pediatric Medicine | Professional Imaging LLC | 1717 Rotary Dr, Humble, TX 77338-5235 |
| Dimitri Latoni | General Practice | Professional Imaging LLC | 1717 Rotary Dr, Humble, TX 77338-5235 |
| Ronnie C. Wiedower | Diagnostic Radiology | Professional Imaging LLC | 1717 Rotary Dr, Humble, TX 77338-5235 |
| Thomas S Falvey Iii | Internal Medicine | Professional Imaging LLC | 1717 Rotary Dr, Humble, TX 77338-5235 |
| Cheryl J King | Internal Medicine | Professional Imaging LLC | 1717 Rotary Dr, Humble, TX 77338-5235 |
| Malini A Kumar | Family Medicine | Professional Imaging LLC | 1717 Rotary Dr, Humble, TX 77338-5235 |
| Nathan B Baumer | General Practice | Professional Imaging LLC | 1717 Rotary Dr, Humble, TX 77338-5235 |
| Shahnaz Ali | Internal Medicine | Professional Imaging LLC | 1717 Rotary Dr, Humble, TX 77338-5235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chi K Nguyen | Optometry | 21802 Townsen Blvd W, Humble, TX 77338-1594 | |
| Pratik B Roy | Optometry | 20777 Hwy 59 N, Humble, TX 77338-2209 | |
| Jay S Pravda | Optometry | 20811 Hwy 59 N 300, Humble, TX 77338-2260 | |
| Amy C Parker | Optometry | Vision Source-deerbrook PC | 20119-a Hwy 59 N, Humble, TX 77338-2315 |
| Chukwuemeka Oragwu | Family Medicine | 1207 N Houston Ave, Suite B, Humble, TX 77338-2592 | |
| Frederick Hill | Family Practice | Frederick L Hill Do Professional Corporation | 20713 Aldine Westfield, Humble, TX 77338-3317 |
| Mark R Richardson | Optometry | 3103 Fm 1960, Suite V, Humble, TX 77338-3380 | |
| Simon S Yeung | Optometry | 19623 Eastex Fwy, Humble, TX 77338-3500 | |
| Okezie Okezie | Physical Medicine and Rehabilitation | 9802 Fm 1960 W Bypass Rd, Suite 205, Humble, TX 77338-3510 | |
| Ruchdi Barakat | Nephrology | Ruchdi Barakat, M.d., P.a. | 9810 Fm 1960 Bypass W Rd, Suite 165, Humble, TX 77338-3524 |
| Find all physicians in zip 77338 | |||
| City | HUMBLE |
| Zip Code | 77338 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HUMBLE + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.