| Fuqua Family Practice And Urgent Care Pa | |
|
10655 Fuqua St # C Houston TX 77089-2403 | |
| (713) 941-1566 | |
| (713) 941-1577 |
| Full Name | Fuqua Family Practice And Urgent Care Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10655 Fuqua St # C, Houston, Texas |
| Authorized Official Name and Position | Jarrod Vincent Drab (OWNER) |
| Authorized Official Contact | 7139411566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fuqua Family Practice And Urgent Care Pa 10655 Fuqua St # C Houston TX 77089-2403 Ph: (713) 941-1566 | Fuqua Family Practice And Urgent Care Pa 10655 Fuqua St # C Houston TX 77089-2403 Ph: (713) 941-1566 |
| NPI Number | 1407197247 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 05/07/2013 |
| Medicare PECOS PAC ID | 3971758517 |
|---|---|
| Medicare Enrollment ID | O20130305000023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407197247 | NPI | - | NPPES |
| 268105 | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P3880 (Texas) | Primary |
| Provider Name | Jarrod Vincent Drab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700110715 PECOS PAC ID: 4688829229 Enrollment ID: I20130305000060 |
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