| Fairfield Medical Center Llp | |
|
15040 Fairfield Village Square Dr Ste 150 Cypress TX 77433-5952 | |
| (281) 304-5100 | |
| (281) 304-5191 |
| Full Name | Fairfield Medical Center Llp |
|---|---|
| Speciality | Family Medicine |
| Location | 15040 Fairfield Village Square Dr, Cypress, Texas |
| Authorized Official Name and Position | Jennifer S Kwak (MANAGING PARTNER) |
| Authorized Official Contact | 2813045100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Medical Center Llp 15040 Fairfield Village Square Dr Ste 150 Cypress TX 77433-7901 Ph: (281) 304-5100 | Fairfield Medical Center Llp 15040 Fairfield Village Square Dr Ste 150 Cypress TX 77433-5952 Ph: (281) 304-5100 |
| NPI Number | 1538504196 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 01/13/2018 |
| Medicare PECOS PAC ID | 9537429683 |
|---|---|
| Medicare Enrollment ID | O20180209000417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538504196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Parul Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710988415 PECOS PAC ID: 2264461672 Enrollment ID: I20050805000647 |
| Provider Name | Jennifer S Kwak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427045145 PECOS PAC ID: 9739203225 Enrollment ID: I20100907000400 |
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