| Elite Medical Care | |
|
17510 W Grand Pkwy Suite 540 Sugar Land TX 77479-2645 | |
| (281) 342-4000 | |
| (281) 232-8880 |
| Full Name | Elite Medical Care |
|---|---|
| Speciality | Family Medicine |
| Location | 17510 W Grand Pkwy, Sugar Land, Texas |
| Authorized Official Name and Position | Ambreen Sharaf (OWNER) |
| Authorized Official Contact | 2813424000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical Care 17510 W Grand Pkwy S Suite 540 Sugar Land TX 77479-2645 Ph: (281) 342-4000 | Elite Medical Care 17510 W Grand Pkwy Suite 540 Sugar Land TX 77479-2645 Ph: (281) 342-4000 |
| NPI Number | 1700045762 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 11/17/2008 |
| Medicare PECOS PAC ID | 4082789623 |
|---|---|
| Medicare Enrollment ID | O20080818000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700045762 | NPI | - | NPPES |
| 00Z414 | Other | TX | MEDICARE PTAN |
| 8BM000 | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M4941 (Texas) | Primary |
| Provider Name | Ambreen Sharaf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235226275 PECOS PAC ID: 1759486707 Enrollment ID: I20070419000307 |
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