|
| |
|
201 That Way Lake Jackson TX 77566 | |
| (979) 285-2100 | |
| (979) 297-0200 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 201 That Way, Lake Jackson, Texas |
| Authorized Official Name and Position | Brian John Feaver (PHYSICAN OWNER) |
| Authorized Official Contact | 9792852100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
201 That Way Lake Jackson TX 77566 Ph: (979) 285-2100 | 201 That Way Lake Jackson TX 77566 Ph: (979) 285-2100 |
| NPI Number | 1750474292 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 09/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750474292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J7953 (Texas) | Primary |
Help Home Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Circle Way St Ste C, Lake Jackson, TX 77566 Phone: 979-480-0197 Fax: 979-480-0332 | |
Tlc Family Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Parking Way St, Lake Jackson, TX 77566 Phone: 979-313-6278 Fax: 979-401-4175 | |
Gulf Coast Gastroenterology, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 219 Oak Dr S Ste A, Lake Jackson, TX 77566 Phone: 979-297-4033 Fax: 979-297-4099 | |
Theory Health Medical Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Oyster Creek Dr Ste E, Lake Jackson, TX 77566 Phone: 979-266-9401 | |
Raj Dalal Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 192 Abner Jackson Pkwy, Lake Jackson, TX 77566 Phone: 979-285-0007 Fax: 979-529-2309 | |