| Freedom Community Medical Clinic | |
|
3826 S Dairy Ashford Rd Houston TX 77082-5600 | |
| (281) 741-2165 | |
| (281) 741-2437 |
| Full Name | Freedom Community Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3826 S Dairy Ashford Rd, Houston, Texas |
| Authorized Official Name and Position | Oyesanmi Fredrick Alonge (SENIOR PASTOR/PRESIDENT) |
| Authorized Official Contact | 9193940291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Community Medical Clinic 3888 S Dairy Ashford Rd Ste F Houston TX 77082-5609 Ph: () - | Freedom Community Medical Clinic 3826 S Dairy Ashford Rd Houston TX 77082-5600 Ph: (281) 741-2165 |
| NPI Number | 1033830518 |
|---|---|
| Provider Enumeration Date | 09/05/2022 |
| Last Update Date | 09/05/2022 |
| Medicare PECOS PAC ID | 1254703283 |
|---|---|
| Medicare Enrollment ID | O20230220002796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033830518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Oluwatosin Victoria Alonge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699275073 PECOS PAC ID: 0547694879 Enrollment ID: I20191219002081 |
| Provider Name | Elizabeth Nyawira Kimani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255913489 PECOS PAC ID: 8527458355 Enrollment ID: I20211209000555 |
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