| Community Health And Life Center, Pllc | |
|
17510 W Grand Pkwy S Ste 380 Sugar Land TX 77479-2649 | |
| (281) 615-6466 | |
| Not Available |
| Full Name | Community Health And Life Center, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 17510 W Grand Pkwy S Ste 380, Sugar Land, Texas |
| Authorized Official Name and Position | Daniel A. Nwachokor (OWNER) |
| Authorized Official Contact | 2816156466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health And Life Center, Pllc 17510 W Grand Pkwy S Ste 380 Sugar Land TX 77479-2649 Ph: () - | Community Health And Life Center, Pllc 17510 W Grand Pkwy S Ste 380 Sugar Land TX 77479-2649 Ph: (281) 615-6466 |
| NPI Number | 1609369172 |
|---|---|
| Provider Enumeration Date | 06/10/2018 |
| Last Update Date | 10/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609369172 | NPI | - | NPPES |
| 1992182398 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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