| Scarsdale Medical Clinic | |
|
11034 Scarsdale Blvd Ste B Houston TX 77089-5971 | |
| (281) 484-0449 | |
| (281) 484-7210 |
| Full Name | Scarsdale Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 11034 Scarsdale Blvd Ste B, Houston, Texas |
| Authorized Official Name and Position | Hong Kim Cao (OFFICE MANAGER) |
| Authorized Official Contact | 2814840449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scarsdale Medical Clinic 11034 Scarsdale Blvd Ste B Houston TX 77089-5971 Ph: (281) 484-0449 | Scarsdale Medical Clinic 11034 Scarsdale Blvd Ste B Houston TX 77089-5971 Ph: (281) 484-0449 |
| NPI Number | 1821195421 |
|---|---|
| Provider Enumeration Date | 09/18/2006 |
| Last Update Date | 06/12/2023 |
| Medicare PECOS PAC ID | 9638140684 |
|---|---|
| Medicare Enrollment ID | O20040803001272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821195421 | NPI | - | NPPES |
| 171503901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H2956 (Texas) | Primary |
| Provider Name | Khoa Cao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982702031 PECOS PAC ID: 5991776957 Enrollment ID: I20040805000345 |
| Provider Name | Bich V Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558458851 PECOS PAC ID: 2365413325 Enrollment ID: I20041110000556 |
| Provider Name | My D Le |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417107434 PECOS PAC ID: 4688971948 Enrollment ID: I20160331001232 |
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