| Celestine Alipui Van Lare Md Pa | |
|
3611 Walnut Forest Ln Spring TX 77388-4503 | |
| (281) 450-2040 | |
| (281) 288-3781 |
| Full Name | Celestine Alipui Van Lare Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 3611 Walnut Forest Ln, Spring, Texas |
| Authorized Official Name and Position | Celestine Alipui Van Lare (OWNER) |
| Authorized Official Contact | 2814502040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Celestine Alipui Van Lare Md Pa 3611 Walnut Forest Ln Spring TX 77388-4503 Ph: (281) 450-2040 | Celestine Alipui Van Lare Md Pa 3611 Walnut Forest Ln Spring TX 77388-4503 Ph: (281) 450-2040 |
| NPI Number | 1154362572 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 06/02/2014 |
| Medicare PECOS PAC ID | 3173596939 |
|---|---|
| Medicare Enrollment ID | O20040818001315 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154362572 | NPI | - | NPPES |
| 0097LP | Other | TX | BLUE CROSS BLUE SHIELD |
| 1751091-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | K3061 (Texas) | Primary |
| Provider Name | Celestine Alipui Van Lare |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104867522 PECOS PAC ID: 4880667641 Enrollment ID: I20040819000256 |
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