Center For Family & Preventive Medicine, Pa | |
14700 Fm 2100 Rd Ste A Crosby TX 77532-9161 | |
(281) 328-2568 | |
(281) 328-2039 |
Full Name | Center For Family & Preventive Medicine, Pa |
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Speciality | Family Medicine |
Location | 14700 Fm 2100 Rd Ste A, Crosby, Texas |
Authorized Official Name and Position | Judson S Henderson (PRESIDENT) |
Authorized Official Contact | 2813282568 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Center For Family & Preventive Medicine, Pa 14700 Fm 2100 Rd Ste A Crosby TX 77532-9161 Ph: (281) 328-2568 | Center For Family & Preventive Medicine, Pa 14700 Fm 2100 Rd Ste A Crosby TX 77532-9161 Ph: (281) 328-2568 |
NPI Number | 1265516306 |
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Provider Enumeration Date | 10/25/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6002899200 |
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Medicare Enrollment ID | O20040609000857 |
Identifier | Type | State | Issuer |
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1265516306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | E1466, AND K9887 (Texas) | Primary |
Provider Name | Robert G Roach |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043259807 PECOS PAC ID: 5698758894 Enrollment ID: I20040609000986 |
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Lake Houston Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5214 S Main St, Crosby, TX 77532 Phone: 281-328-4888 Fax: 281-328-8345 | |
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