Family & Aesthetic Medical Centers | |
12568 Broadway St Ste 160 Pearland TX 77584 | |
(678) 478-2780 | |
Not Available |
Full Name | Family & Aesthetic Medical Centers |
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Speciality | Clinic/Center |
Location | 12568 Broadway St Ste 160, Pearland, Texas |
Authorized Official Name and Position | Tuere Coulter (OWNER) |
Authorized Official Contact | 6784782780 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family & Aesthetic Medical Centers 6108 Norwood Mills Ct League City TX 77573-6483 Ph: (678) 478-2780 | Family & Aesthetic Medical Centers 12568 Broadway St Ste 160 Pearland TX 77584 Ph: (678) 478-2780 |
NPI Number | 1881158525 |
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Provider Enumeration Date | 01/28/2019 |
Last Update Date | 09/25/2019 |
Medicare PECOS PAC ID | 0840625208 |
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Medicare Enrollment ID | O20200114001269 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881158525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Tuere Saran Coulter |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710142880 PECOS PAC ID: 8426244823 Enrollment ID: I20111024000316 |
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