| Bcs Ez Lab Llc | |
|
12660 Beechnut St Ste 110 Houston TX 77072-3982 | |
| (832) 451-0254 | |
| Not Available |
| Full Name | Bcs Ez Lab Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12660 Beechnut St Ste 110, Houston, Texas |
| Authorized Official Name and Position | Stuart Quartemont (DIRECTOR/MANAGER) |
| Authorized Official Contact | 9792295474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bcs Ez Lab Llc 4801 Apple Valley Ct College Station TX 77845-4430 Ph: () - | Bcs Ez Lab Llc 12660 Beechnut St Ste 110 Houston TX 77072-3982 Ph: (832) 451-0254 |
| NPI Number | 1023754553 |
|---|---|
| Provider Enumeration Date | 05/08/2022 |
| Last Update Date | 05/08/2022 |
| Medicare PECOS PAC ID | 0941685432 |
|---|---|
| Medicare Enrollment ID | O20220920001400 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023754553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stuart Raymond Quartemont |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275501314 PECOS PAC ID: 1052395704 Enrollment ID: I20040617001737 |
| Provider Name | Fernando S Gallegos Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770736191 PECOS PAC ID: 9032276639 Enrollment ID: I20090326000233 |
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