| 100 Chiro Carr Mamedly Pllc | |
|
4821 Lj Pkwy Ste 20, Sugar Land, TX 77479-4987 | |
| (832) 660-1501 | |
| Not Available |
| Full Name | 100 Chiro Carr Mamedly Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4821 Lj Pkwy Ste 20, Sugar Land, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497470520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Tom E Perez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003249699 PECOS PAC ID: 3274965983 Enrollment ID: I20191119001694 |
| Mailing Address | Practice Location Address |
|---|---|
| 100 Chiro Carr Mamedly Pllc 4821 Lj Pkwy Ste 20, Sugar Land, TX 77479-4987 Ph: (832) 660-1501 | 100 Chiro Carr Mamedly Pllc 4821 Lj Pkwy Ste 20, Sugar Land, TX 77479-4987 Ph: (832) 660-1501 |
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