For The Girls Clinic Pllc | |
3129 Kingsley Dr Ste 1320 Pearland TX 77584-8510 | |
(832) 786-9786 | |
Not Available |
Full Name | For The Girls Clinic Pllc |
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Speciality | Family Medicine |
Location | 3129 Kingsley Dr Ste 1320, Pearland, Texas |
Authorized Official Name and Position | Tonita Bates Liverman (FOUNDER/ MANAGING MEMBER) |
Authorized Official Contact | 2817365079 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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For The Girls Clinic Pllc 2511 Creekway Cir Missouri City TX 77459-2127 Ph: (281) 736-5079 | For The Girls Clinic Pllc 3129 Kingsley Dr Ste 1320 Pearland TX 77584-8510 Ph: (832) 786-9786 |
NPI Number | 1073346862 |
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Provider Enumeration Date | 08/26/2024 |
Last Update Date | 10/29/2024 |
Medicare PECOS PAC ID | 1951833995 |
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Medicare Enrollment ID | O20241016001279 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073346862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Tonita Bates |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750764551 PECOS PAC ID: 5395059166 Enrollment ID: I20241016001361 |
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