| Advanced Internal Medicine Of The Woodlands | |
|
3115 College Park Dr Ste 112 The Woodlands TX 77384-4001 | |
| (281) 836-3627 | |
| Not Available |
| Full Name | Advanced Internal Medicine Of The Woodlands |
|---|---|
| Speciality | Internal Medicine |
| Location | 3115 College Park Dr Ste 112, The Woodlands, Texas |
| Authorized Official Name and Position | Mamta Jain (PRESIDENT) |
| Authorized Official Contact | 2818363627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Internal Medicine Of The Woodlands Po Box 132765 Spring TX 77393-2765 Ph: (281) 836-3627 | Advanced Internal Medicine Of The Woodlands 3115 College Park Dr Ste 112 The Woodlands TX 77384-4001 Ph: (281) 836-3627 |
| NPI Number | 1972829042 |
|---|---|
| Provider Enumeration Date | 04/14/2010 |
| Last Update Date | 06/22/2018 |
| Medicare PECOS PAC ID | 5890982953 |
|---|---|
| Medicare Enrollment ID | O20101215000530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972829042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | N0129 (Texas) | Primary |
| Provider Name | Mamta Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528138419 PECOS PAC ID: 3870696693 Enrollment ID: I20081216000329 |
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