Agp Family Health Clinic Corp | |
11007 Northpointe Blvd Ste D Tomball TX 77375-1683 | |
(832) 684-3909 | |
Not Available |
Full Name | Agp Family Health Clinic Corp |
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Speciality | Family Medicine |
Location | 11007 Northpointe Blvd Ste D, Tomball, Texas |
Authorized Official Name and Position | Richard Pedroza (OWNER) |
Authorized Official Contact | 8326843909 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Agp Family Health Clinic Corp 11007 Northpointe Blvd Ste D Tomball TX 77375-1683 Ph: (832) 684-3909 | Agp Family Health Clinic Corp 11007 Northpointe Blvd Ste D Tomball TX 77375-1683 Ph: (832) 684-3909 |
NPI Number | 1760140313 |
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Provider Enumeration Date | 12/01/2021 |
Last Update Date | 12/01/2021 |
Medicare PECOS PAC ID | 8426432204 |
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Medicare Enrollment ID | O20220827000260 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760140313 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Richard A Pedroza |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528402823 PECOS PAC ID: 4789978149 Enrollment ID: I20160808001003 |
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