Excellence Care Clinic Md Pa | |
19701 Kingwood Dr Building 9 Kingwood TX 77339-3775 | |
(304) 435-7573 | |
Not Available |
Full Name | Excellence Care Clinic Md Pa |
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Speciality | Internal Medicine |
Location | 19701 Kingwood Dr, Kingwood, Texas |
Authorized Official Name and Position | Rizwan Ali (OWNER) |
Authorized Official Contact | 3044357573 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Excellence Care Clinic Md Pa Po Box 540088 Houston TX 77254-0088 Ph: (713) 850-1190 | Excellence Care Clinic Md Pa 19701 Kingwood Dr Building 9 Kingwood TX 77339-3775 Ph: (304) 435-7573 |
NPI Number | 1932859212 |
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Provider Enumeration Date | 03/28/2022 |
Last Update Date | 11/29/2023 |
Medicare PECOS PAC ID | 0042606576 |
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Medicare Enrollment ID | O20220408000561 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932859212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Rizwan Ali |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588005276 PECOS PAC ID: 5193968204 Enrollment ID: I20200728002959 |
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