| |
2620 Cullen Blvd, Suite 202, Pearland, TX 77581-8961 | |
(281) 412-0900 | |
(281) 412-4020 |
Full Name | |
---|---|
Type | Facility |
Speciality | Family Medicine |
Location | 2620 Cullen Blvd, Pearland, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003351768 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Secondary |
207Q00000X | Family Medicine | AP1202492 (Texas) | Primary |
Mailing Address | Practice Location Address |
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8900 Shoal Creek Blvd, Suite 200, Austin, TX 78757-6810 Ph: (512) 323-6900 | 2620 Cullen Blvd, Suite 202, Pearland, TX 77581-8961 Ph: (281) 412-0900 |