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2700 W Pecan St Ste 450 Pflugerville TX 78660-3154 | |
(512) 978-9840 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 2700 W Pecan St Ste 450, Pflugerville, Texas |
Authorized Official Name and Position | Joy Sloan (CFO) |
Authorized Official Contact | 5129789811 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2115 Kramer Ln Ste 100 Austin TX 78758-4196 Ph: (512) 978-9840 | 2700 W Pecan St Ste 450 Pflugerville TX 78660-3154 Ph: (512) 978-9840 |
NPI Number | 1972204899 |
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Provider Enumeration Date | 03/16/2023 |
Last Update Date | 07/10/2024 |
Medicare PECOS PAC ID | 5395802151 |
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Medicare Enrollment ID | O20230706001161 |
Identifier | Type | State | Issuer |
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1972204899 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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