Affinity Immediate Care, Llc | |
2600 Fm 1764 Suite 190 Lamarque TX 77568 | |
(281) 886-8964 | |
(409) 440-8071 |
Full Name | Affinity Immediate Care, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 2600 Fm 1764, Lamarque, Texas |
Authorized Official Name and Position | Megan Eacho Jefferson (CREDENTIALING CONTACT) |
Authorized Official Contact | 2818868964 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Affinity Immediate Care, Llc 2600 Fm 1764 Suite 190 Lamarque TX 77568 Ph: (281) 886-8964 | Affinity Immediate Care, Llc 2600 Fm 1764 Suite 190 Lamarque TX 77568 Ph: (281) 886-8964 |
NPI Number | 1326324567 |
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Provider Enumeration Date | 11/02/2011 |
Last Update Date | 12/29/2017 |
Identifier | Type | State | Issuer |
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1326324567 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | M4126 (Texas) | Primary |