Cmc Medical Pllc | |
1017 Fairmont Pkwy Pasadena TX 77504-2903 | |
(713) 378-0989 | |
(713) 378-0963 |
Full Name | Cmc Medical Pllc |
---|---|
Speciality | Family Medicine |
Location | 1017 Fairmont Pkwy, Pasadena, Texas |
Authorized Official Name and Position | Llewellyn Basilio Canio (MD) |
Authorized Official Contact | 7133780989 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cmc Medical Pllc 1017 Fairmont Pkwy Pasadena TX 77504-2903 Ph: (713) 378-0989 | Cmc Medical Pllc 1017 Fairmont Pkwy Pasadena TX 77504-2903 Ph: (713) 378-0989 |
NPI Number | 1750866927 |
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Provider Enumeration Date | 10/03/2018 |
Last Update Date | 10/03/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750866927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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