Scheduler

Appointment Type: New

Reason For Visit

(ER Follow Up)

Insurance

Upload Image

Carrier

Member ID #

Self Pay

Use Existing

Reviews

The Vintage

20207 Chasewood Park Dr., Ste. 100
Houston, Texas 77070

Monday – Thursday: 8:45am – 5pm

Friday: 8:45am – 4:30pm

Closed this morning (Wed Jun 19), open from 1:30pm - 4:30pm

Locations for this provider | Providers at this location

Baneen Zia, PA-C

Rachel Lagaly, PA

Murtaza Ghadiali, MD

Stephanie Cordes, MD

Requested Appointment

Preferred

Date:

Time:

Alternate

Date:

Time:

Which type of appointment
would you like to make?

New Patient* Existing Patient Reschedule Cancel

*New Patient: Has not been seen by a provider within the last 3 years.

Patient Information

First Name Please enter your first name.

Last Name Please enter your last name.

Phone Please enter your phone.

Email Please enter your email.

Date of Birth Please enter your date of birth.

Original Appointment Date Please select a valid date.

Gender

Please enter your gender.

Address Please enter your address.

City Please enter your city.

State Please enter your state.

Zip Code Please enter your zip code.

By providing your email and mobile number, you consent to receive informational SMS and email messages from Texas ENT Specialists. Message and data rates may apply. You may unsubscribe any time by replying OPTOUT to any message.

Yes, I agree

Are you making this appointment request for somebody else? Are you cancelling this appointment for somebody else?

Yes

Patient's Relationship to You

Please enter your patient's relationship to you.

Patient First Name Please enter your patient first name.

Patient Last Name Please enter your patient last name.

Patient Date of Birth Please enter your patient date of birth.

Patient Gender

Please enter your patient gender.

Patient Insurance

Do you want to update your existing insurance information?

Required field.

Please upload your insurance card(s), manually enter information or self pay

Required field.

Insurance Card (Front)*

Upload Insurance Card (Front)

Insurance Card (Rear)*

Upload Insurance Card (Rear)

Insurance Carrier Please enter your insurance carrier.

Insurance Member ID Please enter your insurance member id.

Select a location

Choose from one of our convenient locations.

Please select the location for your new appointment

Select the location of your original appointment.

Clear Lake

251 Medical Center Blvd, Suite 110
Webster, Texas 77598

Select Location

Conroe

4015 Interstate 45 N., Ste. 330
Conroe, Texas 77304

Select Location

Fairfield

15103 Mason Rd, Suite C-4
Cypress, Texas 77433

Select Location

Humble & Kingwood

18980 W Memorial Dr., Suite 300
Humble, Texas 77338

Select Location

Katy Memorial

23920 Katy Fwy., Suite 430
Katy, Texas 77494

Select Location

Katy Methodist

18400 Katy Fwy., Ste. 470
Houston, Texas 77094

Select Location

Medical Center

7900 Fannin, Ste. 1800
Houston, Texas 77054

Select Location

Memorial Villages

8731 Katy Fwy., Ste 200
Hedwig Village, Texas 77024

Select Location

North Cypress

21216 NW Fwy., Ste. 310
Cypress, Texas 77429

Select Location

Pearland

10970 Shadow Creek Pkwy., Ste. 360
Pearland, Texas 77584

Select Location

Springwoods

2255 E. Mossy Oaks Rd., Ste. 400
Spring, Texas 77389

Select Location

Sugar Land

17520 W Grand Parkway S., Ste. 440
Sugar Land, Texas 77479

Select Location

Tomball

506 Graham Dr., Ste. 130
Tomball, Texas 77375

Select Location

The Vintage

20207 Chasewood Park Dr., Ste. 100
Houston, Texas 77070

Selected

The Woodlands

9301 Pinecroft, Ste. 150
Shenandoah, Texas 77380

Select Location

Select a provider

Click a provider to see their full schedule.

Click the provider for your appointment.

Request new appointment date/time

This week Prev week Next week

Preferred Date/Time: Select an option above

Alternate Date/Time Select an option above

Select your preferred date/time above. This timeslot is no longer available. * This time slot will be reserved for only 5 minutes.

Change provider Reset Dates

Your appointment request has been submitted.

Your cancellation has been submitted.

We will respond within 30 minutes during business hours to schedule you with the soonest available appointment date & time.Our business hours are 8:00am - 4:30pm, Monday - Friday.

There seems to have been an error. Please try again.

This field is required.

Back Next Submit

Scheduler

Which type of appointment
would you like to make?

Patient Information

Patient Insurance

Select a location

Select a provider

Request new appointment date/time

What can we help with?

Which best describes your symptoms?

Your appointment request has been submitted.

Your cancellation has been submitted.

There seems to have been an error. Please try again.

Scheduler

Which type of appointment would you like to make?

Patient Information

Patient Insurance

Select a location

Select a provider

Request new appointment date/time

What can we help with?

Which best describes your symptoms?

Your appointment request has been submitted.

Your cancellation has been submitted.

There seems to have been an error. Please try again.

Which type of appointment
would you like to make?