Texana Physicians, PLLC
Organization Active NPI Emergency Medicine Physician · Webster, TX
NPI 1306202098 · NPPES record last updated Jan 22, 2016
Key facts
- NPI
- 1306202098
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- K2308 (TX)
- Legal business name
- TEXANA PHYSICIANS, PLLC
- Practice address
- 200 Blossom St
Webster, TX 77598-4204 - Phone
- (281) 525-7132
- NPI assigned
- Jan 11, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Tracey Allen Antill, D.O.
- Title
- Organizer
- Phone
- (713) 252-1551
Practitioners 7
-
Tracey A Antill, D.O.
-
William F Fisher, MD
-
Isaac Jhingree, M.D.
-
Tarek Koussayer, M.D.
-
Nguyen T Luu, M.D.
-
James S Vincent, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160328000734 | TX | Part B Supplier - Clinic/Group Practice | 6901103555 |
Receives reassigned benefits from 7 practitioners Practice locations: League City, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | K2308 | TX | Yes |
Addresses
Primary practice location
200 Blossom St
Webster, TX 77598-4204
Mailing address
203 Holly Springs Dr
Friendswood, TX 77546-4630
Phone (713) 252-1551
Other providers in Webster, TX
- Kehui Teoh
- Remy Teqwimuah
- Luigi Terminella
- Heaven Carelnee Terrell
- Jeffrey Martin Tesluk
- Texans Anesthesia Associates PLLC
- Texas Anesthesiology Consultants of Houston PA
- Texas Brain and Spine Center, P.a
- Texas Dental Associates, PA
- Texas Gulf Coast Medical System, Inc
All providers in Webster, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.