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114 Truly Plz Cleveland TX 77327-4889 | |
(832) 480-5313 | |
(832) 480-5314 |
Full Name | |
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Speciality | General Practice |
Location | 114 Truly Plz, Cleveland, Texas |
Authorized Official Name and Position | Alieski Mastrapa Dominguez (DIRECTOR) |
Authorized Official Contact | 2813816190 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2799 Porter TX 77365-2799 Ph: (281) 381-6190 | 114 Truly Plz Cleveland TX 77327-4889 Ph: (832) 480-5313 |
NPI Number | 1538801923 |
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Provider Enumeration Date | 04/07/2022 |
Last Update Date | 08/31/2023 |
Identifier | Type | State | Issuer |
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1538801923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Prime Medic, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 S College Ave, Cleveland, TX 77327 Phone: 281-592-8622 Fax: 281-592-8699 | |
Memorial Rehab Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 N College Ave, Suite 1001, Cleveland, TX 77327 Phone: 281-592-2426 Fax: 281-593-0060 |