| Family & Senior Medical Clinic, Pa | |
|
1120 Medical Plaza Dr Ste 240 Shenandoah TX 77380-3212 | |
| (281) 709-2555 | |
| Not Available |
| Full Name | Family & Senior Medical Clinic, Pa |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1120 Medical Plaza Dr Ste 240, Shenandoah, Texas |
| Authorized Official Name and Position | Bharat Latthe (SUPERVISING PHYSICIAN) |
| Authorized Official Contact | 2817092555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Senior Medical Clinic, Pa 1120 Medical Plaza Dr Ste 240 Shenandoah TX 77380-3212 Ph: (281) 709-2555 | Family & Senior Medical Clinic, Pa 1120 Medical Plaza Dr Ste 240 Shenandoah TX 77380-3212 Ph: (281) 709-2555 |
| NPI Number | 1669841326 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 09/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669841326 | NPI | - | NPPES |
| 712311 | Other | TX | TX RN LICENSE |
| AP129097 | Other | TX | TX APRN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP129097 (Texas) | Primary |
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