Look up the most recent NPI and PECOS records

Summit Family Practice, Pllc

Family Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Summit Family Practice, Pllc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1700570900
Provider Type
Organization
Full Name
Summit Family Practice, Pllc

Subpart
No
Enumeration Date
6/8/2023
Last Updated
6/8/2023

Contact Information

Practice Location

5222 Spruce St, Bellaire, TX 77401-3311

(713) 626-2334

Unlisted Fax

Mailing Location

PO Box 3290, Bellaire, TX 77402-3290

(713) 626-2334

Unlisted Fax

Authorized Official

Hasse, Bryan (Owner)

(713) 626-2334

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License Unlisted Issuer
Code 363LF0000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Summit Family Practice, Pllc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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