| Colony Internal Medicine Associates, Pa | |
|
16651 Southwest Fwy Ste 330 Sugar Land TX 77479-2348 | |
| (281) 265-4168 | |
| (281) 265-1512 |
| Full Name | Colony Internal Medicine Associates, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 16651 Southwest Fwy Ste 330, Sugar Land, Texas |
| Authorized Official Name and Position | Xun Zhao (PRESIDENT) |
| Authorized Official Contact | 2812654168 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colony Internal Medicine Associates, Pa 16651 Southwest Fwy Ste 330 Sugar Land TX 77479-2348 Ph: (281) 265-4168 | Colony Internal Medicine Associates, Pa 16651 Southwest Fwy Ste 330 Sugar Land TX 77479-2348 Ph: (281) 265-4168 |
| NPI Number | 1386673465 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 01/30/2019 |
| Medicare PECOS PAC ID | 0648172015 |
|---|---|
| Medicare Enrollment ID | O20110330000545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386673465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L3205 (Texas) | Primary |
| Provider Name | Xun Zhao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598735441 PECOS PAC ID: 2365344736 Enrollment ID: I20040126000177 |
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