| Advance Family Clinic Llc | |
|
5015 Lark Creek Ct Sugar Land TX 77479-3866 | |
| (832) 616-6718 | |
| Not Available |
| Full Name | Advance Family Clinic Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 5015 Lark Creek Ct, Sugar Land, Texas |
| Authorized Official Name and Position | Ezinne Blessing Chukwuocha (FNP) |
| Authorized Official Contact | 8326166718 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Family Clinic Llc 5015 Lark Creek Ct Sugar Land TX 77479-3866 Ph: (832) 616-6718 | Advance Family Clinic Llc 5015 Lark Creek Ct Sugar Land TX 77479-3866 Ph: (832) 616-6718 |
| NPI Number | 1235801366 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 12/23/2021 |
| Medicare PECOS PAC ID | 3274923719 |
|---|---|
| Medicare Enrollment ID | O20211124000749 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235801366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Ezinne Chukwuocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477046654 PECOS PAC ID: 3577475359 Enrollment ID: I20180928001023 |
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