Fast Clinic Llc | |
1398 Eldridge Pkwy Ste 113 Houston TX 77077-2548 | |
(281) 679-9500 | |
(281) 679-9501 |
Full Name | Fast Clinic Llc |
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Speciality | Internal Medicine |
Location | 1398 Eldridge Pkwy Ste 113, Houston, Texas |
Authorized Official Name and Position | Margaret Ndegwa (OWNER) |
Authorized Official Contact | 2816799500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fast Clinic Llc 1398 Eldridge Pkwy Ste 113 Houston TX 77077-2548 Ph: (281) 679-9500 | Fast Clinic Llc 1398 Eldridge Pkwy Ste 113 Houston TX 77077-2548 Ph: (281) 679-9500 |
NPI Number | 1194367284 |
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Provider Enumeration Date | 10/10/2019 |
Last Update Date | 10/10/2019 |
Medicare PECOS PAC ID | 1951737386 |
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Medicare Enrollment ID | O20200204000552 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194367284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Virginia M Mills |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972676633 PECOS PAC ID: 8921070749 Enrollment ID: I20040811000634 |
Provider Name | Robert L Thompson |
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Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1346211083 PECOS PAC ID: 1153382734 Enrollment ID: I20041026001091 |
Provider Name | Margaret Ndegwa |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770029829 PECOS PAC ID: 3577898477 Enrollment ID: I20190715003187 |
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