| Dynamica Concierge Associates | |
|
355 E Parkwood Ave Friendswood TX 77546-5147 | |
| (310) 425-9880 | |
| Not Available |
| Full Name | Dynamica Concierge Associates |
|---|---|
| Speciality | Clinic/Center |
| Location | 355 E Parkwood Ave, Friendswood, Texas |
| Authorized Official Name and Position | Khuram Siddiqi (PRESIDENT) |
| Authorized Official Contact | 3104259880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamica Concierge Associates 6410 Logan Creek Ln Sugar Land TX 77479-3618 Ph: (310) 425-9880 | Dynamica Concierge Associates 355 E Parkwood Ave Friendswood TX 77546-5147 Ph: (310) 425-9880 |
| NPI Number | 1265935217 |
|---|---|
| Provider Enumeration Date | 03/15/2018 |
| Last Update Date | 03/15/2018 |
| Medicare PECOS PAC ID | 2961757174 |
|---|---|
| Medicare Enrollment ID | O20180612000897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265935217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | M7628 (Texas) | Primary |
| Provider Name | Khuram Hissam Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093859993 PECOS PAC ID: 7214011394 Enrollment ID: I20080227000809 |
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