| Complete Community Care Pllc | |
|
8002 Fm 1464 Rd Ste 300 Richmond TX 77407-8087 | |
| (209) 432-5576 | |
| (832) 400-2734 |
| Full Name | Complete Community Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8002 Fm 1464 Rd Ste 300, Richmond, Texas |
| Authorized Official Name and Position | Salman Rasheed Mallick (CEO) |
| Authorized Official Contact | 6122733000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Community Care Pllc 8002 Fm 1464 Rd Ste 300 Richmond TX 77407-8087 Ph: (832) 400-2733 | Complete Community Care Pllc 8002 Fm 1464 Rd Ste 300 Richmond TX 77407-8087 Ph: (209) 432-5576 |
| NPI Number | 1578255311 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/13/2024 |
| Medicare PECOS PAC ID | 7315309168 |
|---|---|
| Medicare Enrollment ID | O20230810004503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578255311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Aisha Khattak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104142736 PECOS PAC ID: 5496034373 Enrollment ID: I20161116002946 |
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