Family Medicine & Senior Care Pllc | |
1304 Deacon Dr College Station TX 77845-6405 | |
(979) 694-3433 | |
Not Available |
Full Name | Family Medicine & Senior Care Pllc |
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Speciality | Family Medicine - Geriatric Medicine |
Location | 1304 Deacon Dr, College Station, Texas |
Authorized Official Name and Position | Ume-haney Kakwan (MANAGER) |
Authorized Official Contact | 9796943433 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Medicine & Senior Care Pllc Po Box 10890 College Station TX 77842-0890 Ph: (979) 694-3433 | Family Medicine & Senior Care Pllc 1304 Deacon Dr College Station TX 77845-6405 Ph: (979) 694-3433 |
NPI Number | 1366879405 |
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Provider Enumeration Date | 10/03/2013 |
Last Update Date | 10/03/2013 |
Identifier | Type | State | Issuer |
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1366879405 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | L1903 (Texas) | Primary |
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