| Del Sol Centro Medico Familiar Pllc | |
|
3100 Broadway St Suite 104-e Houston TX 77017-2337 | |
| (713) 634-0200 | |
| (713) 634-0202 |
| Full Name | Del Sol Centro Medico Familiar Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3100 Broadway St, Houston, Texas |
| Authorized Official Name and Position | Luis E Zepeda (DIRECTOR) |
| Authorized Official Contact | 7136340200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Del Sol Centro Medico Familiar Pllc 3100 Broadway St Ste 104e Houston TX 77017-2338 Ph: (713) 634-0200 | Del Sol Centro Medico Familiar Pllc 3100 Broadway St Suite 104-e Houston TX 77017-2337 Ph: (713) 634-0200 |
| NPI Number | 1346670080 |
|---|---|
| Provider Enumeration Date | 11/16/2013 |
| Last Update Date | 03/27/2024 |
| Medicare PECOS PAC ID | 8123331758 |
|---|---|
| Medicare Enrollment ID | O20150724011561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346670080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Luis E Zepeda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215032602 PECOS PAC ID: 5496737371 Enrollment ID: I20040603001279 |
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