| Atascocita Primary Care, Pa | |
|
18700 W Lake Houston Pkwy Ste A104 Humble TX 77346-3349 | |
| (281) 852-9500 | |
| (281) 852-9755 |
| Full Name | Atascocita Primary Care, Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 18700 W Lake Houston Pkwy, Humble, Texas |
| Authorized Official Name and Position | Huong Quynh Hoang (PRESIDENT) |
| Authorized Official Contact | 2818529500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atascocita Primary Care, Pa 18700 W Lake Houston Pkwy Ste A104 Humble TX 77346-3349 Ph: (281) 852-9500 | Atascocita Primary Care, Pa 18700 W Lake Houston Pkwy Ste A104 Humble TX 77346-3349 Ph: (281) 852-9500 |
| NPI Number | 1619954799 |
|---|---|
| Provider Enumeration Date | 12/29/2005 |
| Last Update Date | 07/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619954799 | NPI | - | NPPES |
| DE2075 | Other | TX | MEDICARE RAILROAD |
| 0099MY | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | K5556 (Texas) | Primary |
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