| Bella & Slz Llc | |
|
3810 N Fry Rd Suite 118 Katy TX 77449 | |
| (832) 321-4233 | |
| (832) 321-4310 |
| Full Name | Bella & Slz Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3810 N Fry Rd Suite 118, Katy, Texas |
| Authorized Official Name and Position | Jerlys Suarez Lopez (OWNER) |
| Authorized Official Contact | 8329966911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bella & Slz Llc 3810 N Fry Rd Suite 118 Katy TX 77449 Ph: (832) 321-4233 | Bella & Slz Llc 3810 N Fry Rd Suite 118 Katy TX 77449 Ph: (832) 321-4233 |
| NPI Number | 1275123408 |
|---|---|
| Provider Enumeration Date | 01/21/2021 |
| Last Update Date | 01/01/2023 |
| Medicare PECOS PAC ID | 3173922598 |
|---|---|
| Medicare Enrollment ID | O20210604000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275123408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Jerlys Suarez Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386245959 PECOS PAC ID: 9931513124 Enrollment ID: I20210607000264 |
| Provider Name | Rajesh Vindhya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225220023 PECOS PAC ID: 5698856953 Enrollment ID: I20211221000504 |
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