| Astros Healthcare Llc | |
|
723 Main St Liberty TX 77575-4813 | |
| (832) 331-8438 | |
| (281) 873-8101 |
| Full Name | Astros Healthcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 723 Main St, Liberty, Texas |
| Authorized Official Name and Position | Amanuel M Abreha (DIRECTOR) |
| Authorized Official Contact | 8323318438 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Astros Healthcare Llc 723 Main St Liberty TX 77575-4813 Ph: (832) 331-8438 | Astros Healthcare Llc 723 Main St Liberty TX 77575-4813 Ph: (832) 331-8438 |
| NPI Number | 1568827806 |
|---|---|
| Provider Enumeration Date | 12/30/2015 |
| Last Update Date | 12/30/2015 |
| Medicare PECOS PAC ID | 4385933720 |
|---|---|
| Medicare Enrollment ID | O20160525000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568827806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M2511 (Texas) | Primary |
| Provider Name | Amanuel M Abreha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821059841 PECOS PAC ID: 8325084320 Enrollment ID: I20060224000664 |
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