| Dr. Harvey Resnick, Assoc. | |
|
201 Oak Dr South #107 Lake Jackson TX 77566-5626 | |
| (979) 297-0028 | |
| (979) 297-0504 |
| Full Name | Dr. Harvey Resnick, Assoc. |
|---|---|
| Speciality | Family Medicine |
| Location | 201 Oak Dr South #107, Lake Jackson, Texas |
| Authorized Official Name and Position | Harvey Resnick (OWNER) |
| Authorized Official Contact | 9792970028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Harvey Resnick, Assoc. 201 Oak Dr South #107 Lake Jackson TX 77566-5626 Ph: (979) 297-0028 | Dr. Harvey Resnick, Assoc. 201 Oak Dr South #107 Lake Jackson TX 77566-5626 Ph: (979) 297-0028 |
| NPI Number | 1629247879 |
|---|---|
| Provider Enumeration Date | 02/21/2008 |
| Last Update Date | 03/26/2008 |
| Medicare PECOS PAC ID | 9739121930 |
|---|---|
| Medicare Enrollment ID | O20050527000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629247879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| Provider Name | Harvey Resnick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366455354 PECOS PAC ID: 8224070446 Enrollment ID: I20080411000060 |
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