Bellaire Family Clinic, P.a. | |
9737 Fm 1960 Bypass Rd W Humble TX 77338-4067 | |
(281) 540-8896 | |
Not Available |
Full Name | Bellaire Family Clinic, P.a. |
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Speciality | Family Medicine |
Location | 9737 Fm 1960 Bypass Rd W, Humble, Texas |
Authorized Official Name and Position | Chit Wong (OWNER) |
Authorized Official Contact | 7136285372 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bellaire Family Clinic, P.a. 9109 Creekstone Lake Dr Houston TX 77054-1003 Ph: (713) 628-5372 | Bellaire Family Clinic, P.a. 9737 Fm 1960 Bypass Rd W Humble TX 77338-4067 Ph: (281) 540-8896 |
NPI Number | 1285814004 |
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Provider Enumeration Date | 11/08/2007 |
Last Update Date | 11/08/2007 |
Medicare PECOS PAC ID | 7911914536 |
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Medicare Enrollment ID | O20060307000459 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285814004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L6218 (Texas) | Primary |
Provider Name | Chit Wong |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700982170 PECOS PAC ID: 3274540893 Enrollment ID: I20120717000303 |
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