| Altmedical Clinic Pllc | |
|
10739 Gulf Fwy Houston TX 77034-1857 | |
| (346) 410-5465 | |
| (346) 410-5466 |
| Full Name | Altmedical Clinic Pllc |
|---|---|
| Speciality | General Practice |
| Location | 10739 Gulf Fwy, Houston, Texas |
| Authorized Official Name and Position | Yadira Santiago (OWNER) |
| Authorized Official Contact | 3464105465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altmedical Clinic Pllc 10739 Gulf Fwy Houston TX 77034-1857 Ph: (346) 410-5465 | Altmedical Clinic Pllc 10739 Gulf Fwy Houston TX 77034-1857 Ph: (346) 410-5465 |
| NPI Number | 1346875929 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 11/03/2020 |
| Medicare PECOS PAC ID | 8426487018 |
|---|---|
| Medicare Enrollment ID | O20200402001301 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346875929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Yadira Santiago-henriquez |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780123455 PECOS PAC ID: 4082984331 Enrollment ID: I20170720000219 |
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