| Dr. A Family Clinic | |
|
920 Medical Plaza Dr Suite 370 Shenandoah TX 77380-3260 | |
| (763) 670-5849 | |
| Not Available |
| Full Name | Dr. A Family Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 920 Medical Plaza Dr, Shenandoah, Texas |
| Authorized Official Name and Position | Chinasa Paul Anugwom (OWNER) |
| Authorized Official Contact | 7636705849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. A Family Clinic 43 Ginger Jar St The Woodlands TX 77382-2806 Ph: (763) 670-5849 | Dr. A Family Clinic 920 Medical Plaza Dr Suite 370 Shenandoah TX 77380-3260 Ph: (763) 670-5849 |
| NPI Number | 1295166791 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 12/09/2013 |
| Medicare PECOS PAC ID | 8022246990 |
|---|---|
| Medicare Enrollment ID | O20140123000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295166791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | P6574 (Texas) | Primary |
| Provider Name | Chinasa Paul Anugwom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770613507 PECOS PAC ID: 9436257839 Enrollment ID: I20140123000141 |
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