| Connect Primary Care Pllc | |
|
6300 West Loop S Ste 300 Bellaire TX 77401-2913 | |
| (713) 464-7555 | |
| Not Available |
| Full Name | Connect Primary Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6300 West Loop S Ste 300, Bellaire, Texas |
| Authorized Official Name and Position | Pernia Latif (PROVIDER) |
| Authorized Official Contact | 7134647555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connect Primary Care Pllc 4619 Evergreen St Bellaire TX 77401-5113 Ph: (713) 464-7555 | Connect Primary Care Pllc 6300 West Loop S Ste 300 Bellaire TX 77401-2913 Ph: (713) 464-7555 |
| NPI Number | 1235894569 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 06/28/2022 |
| Medicare PECOS PAC ID | 2961891601 |
|---|---|
| Medicare Enrollment ID | O20211117003183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235894569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Pernia Latif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760643050 PECOS PAC ID: 4082889373 Enrollment ID: I20150714001166 |
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