| Clarewood Clinic Pa | |
|
7601 W Sam Houston Pkwy S Ste 400 Houston TX 77072-5260 | |
| (713) 981-6588 | |
| (713) 981-8978 |
| Full Name | Clarewood Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 7601 W Sam Houston Pkwy S Ste 400, Houston, Texas |
| Authorized Official Name and Position | Paul Hoffman (DIRECTOR) |
| Authorized Official Contact | 8327983676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarewood Clinic Pa 7601 W Sam Houston Pkwy S Ste 400 Houston TX 77072-5260 Ph: (713) 981-6588 | Clarewood Clinic Pa 7601 W Sam Houston Pkwy S Ste 400 Houston TX 77072-5260 Ph: (713) 981-6588 |
| NPI Number | 1841710647 |
|---|---|
| Provider Enumeration Date | 06/22/2017 |
| Last Update Date | 06/10/2024 |
| Medicare PECOS PAC ID | 8729359005 |
|---|---|
| Medicare Enrollment ID | O20170804000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841710647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Carlos Reynaldo Herrera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003858143 PECOS PAC ID: 4880721687 Enrollment ID: I20100428000113 |
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