| |
203 N College Ave Ste 2001 Cleveland TX 77327-4966 | |
(832) 318-9800 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/Center |
Location | 203 N College Ave Ste 2001, Cleveland, Texas |
Authorized Official Name and Position | Dona Nicole Coleman (FNP-C) |
Authorized Official Contact | 2817615471 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
30022 Walton Heath Dr Cleveland TX 77327-2752 Ph: (281) 761-5471 | 203 N College Ave Ste 2001 Cleveland TX 77327-4966 Ph: (832) 318-9800 |
NPI Number | 1124784673 |
---|---|
Provider Enumeration Date | 11/09/2021 |
Last Update Date | 06/08/2022 |
Medicare PECOS PAC ID | 7618367954 |
---|---|
Medicare Enrollment ID | O20220208000877 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124784673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | Dona Nicole Coleman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265026058 PECOS PAC ID: 2860899051 Enrollment ID: I20211001000026 |
Prime Medic, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 S College Ave, Cleveland, TX 77327 Phone: 281-592-8622 Fax: 281-592-8699 | |
Memorial Rehab Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 N College Ave, Suite 1001, Cleveland, TX 77327 Phone: 281-592-2426 Fax: 281-593-0060 |