| Grace Family Clinic, L.l.c. | |
|
2435 Texas Pkwy Ste K Missouri City TX 77489-4061 | |
| (832) 493-4178 | |
| Not Available |
| Full Name | Grace Family Clinic, L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2435 Texas Pkwy Ste K, Missouri City, Texas |
| Authorized Official Name and Position | Shirl Lynn Felder (MANAGER/OWNER) |
| Authorized Official Contact | 8324934178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Family Clinic, L.l.c. 8022 Summer Night Ln Rosenberg TX 77469-1692 Ph: (832) 493-4178 | Grace Family Clinic, L.l.c. 2435 Texas Pkwy Ste K Missouri City TX 77489-4061 Ph: (832) 493-4178 |
| NPI Number | 1093244832 |
|---|---|
| Provider Enumeration Date | 06/06/2017 |
| Last Update Date | 07/22/2024 |
| Medicare PECOS PAC ID | 8224303862 |
|---|---|
| Medicare Enrollment ID | O20171006000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093244832 | NPI | - | NPPES |
| 1326372087 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Shirl L Felder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326372087 PECOS PAC ID: 1254478183 Enrollment ID: I20091027000223 |
| Provider Name | Ericka D Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144255548 PECOS PAC ID: 6406759828 Enrollment ID: I20120921000796 |
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