| Family Care Team | |
|
100 Medical Center Blvd Ste 110 Conroe TX 77304-2821 | |
| (936) 441-7300 | |
| (936) 760-4439 |
| Full Name | Family Care Team |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Medical Center Blvd Ste 110, Conroe, Texas |
| Authorized Official Name and Position | Carmen Estrada (OFFICE MANAGER) |
| Authorized Official Contact | 9367884481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Team 100 Medical Center Blvd Suite 110 Conroe TX 77304-2888 Ph: (936) 441-7300 | Family Care Team 100 Medical Center Blvd Ste 110 Conroe TX 77304-2821 Ph: (936) 441-7300 |
| NPI Number | 1962674804 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 05/10/2021 |
| Medicare PECOS PAC ID | 9234530676 |
|---|---|
| Medicare Enrollment ID | O20210623002172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962674804 | NPI | - | NPPES |
| 191159601 | Medicaid | TX | |
| 302166902 | Medicaid | TX | |
| 302166901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | M4694 (Texas) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Mohammed Sammour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215371778 PECOS PAC ID: 7719201110 Enrollment ID: I20150113000353 |
| Provider Name | Sarah Tritt Eannarelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942743448 PECOS PAC ID: 9739580572 Enrollment ID: I20210630001392 |
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