Embee Lifestyle Docs Pllc | |
4500 Bissonnet St Ste 355 Bellaire TX 77401-3124 | |
(713) 592-8900 | |
(713) 592-8904 |
Full Name | Embee Lifestyle Docs Pllc |
---|---|
Speciality | Internal Medicine |
Location | 4500 Bissonnet St Ste 355, Bellaire, Texas |
Authorized Official Name and Position | Bandana N Chawla (MANAGING MEMBER) |
Authorized Official Contact | 7135928900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Embee Lifestyle Docs Pllc 4500 Bissonnet St Ste 355 Bellaire TX 77401-3124 Ph: (713) 592-8900 | Embee Lifestyle Docs Pllc 4500 Bissonnet St Ste 355 Bellaire TX 77401-3124 Ph: (713) 592-8900 |
NPI Number | 1699332825 |
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Provider Enumeration Date | 05/22/2019 |
Last Update Date | 05/22/2019 |
Medicare PECOS PAC ID | 0941538920 |
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Medicare Enrollment ID | O20190829000739 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699332825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
Provider Name | Bandana N Chawla |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619964020 PECOS PAC ID: 7719932821 Enrollment ID: I20050322000050 |
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