MEDICARE: MED A CLINICO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1316149651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MED A CLINICO

Provider Business Mailing Address
First Line	:	12779 JONES RD
Second Line	:	STE 108
City	:	HOUSTON
State	:	TX
Zip	:	77070-4648
Country	:	US
Telephone Number	:	281-955-0000
Fax Number	:	281-955-5305

Provider Business Practice Location Address
First Line	:	12779 JONES RD
Second Line	:	STE 108
City	:	HOUSTON
State	:	TX
Zip	:	77070-4648
Country	:	US
Telephone Number	:	281-955-0000
Fax Number	:	281-955-5305

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	WILMA ELLIS
Credential	:
Telephone Number	:	281-955-0000

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

1457484511 — DR. ROBERT ZAYAS JR. M.D.
Practice Location Address:

12779 JONES RD , STE. 108
HOUSTON, TX
77070-4648

Practice Phone: 281-955-5000
Practice Fax: 281-955-5305

1336396613 — MED-A-CLINICO
Practice Location Address:

12779 JONES RD , SUITE 108
HOUSTON, TX
77070-4648

Practice Phone: 281-955-0000
Practice Fax: 281-955-5305

1447264437 — MR. MARIO E. BERTONI M.D.
Practice Location Address:

6550 MAPLERIDGE ST STE 216
HOUSTON, TX
77081-4648

Practice Phone: 832-830-8997
Practice Fax: 281-888-3918

1588987317 — BELLA VISTA MEDICAL GROUP, LLC
Practice Location Address:

6550 MAPLERIDGE ST STE 216
HOUSTON, TX
77081-4648

Practice Phone: 832-830-8997
Practice Fax: 281-888-3918

1609178268 — EMPIRE EMS INC
Practice Location Address:

2306 MCCUE RD , #109
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77056-4648

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Practice Fax:

1205381498 — MRS. JOY-ANNE JAMES N.P
Practice Location Address:

6550 MAPLERIDGE ST STE 201
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77081-4648

Practice Phone: 713-665-9000
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Directions to “MED A CLINICO ” Practice Location

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