| Greater Houston Family Medicine, Pllc | |
|
100 Medical Center Blvd Ste 104 Conroe TX 77304-2821 | |
| (936) 756-2888 | |
| Not Available |
| Full Name | Greater Houston Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Medical Center Blvd Ste 104, Conroe, Texas |
| Authorized Official Name and Position | John Adiet (OWNER) |
| Authorized Official Contact | 9034079324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Houston Family Medicine, Pllc 100 Medical Center Blvd Ste 104 Conroe TX 77304-2821 Ph: (936) 756-2888 | Greater Houston Family Medicine, Pllc 100 Medical Center Blvd Ste 104 Conroe TX 77304-2821 Ph: (936) 756-2888 |
| NPI Number | 1659885069 |
|---|---|
| Provider Enumeration Date | 11/21/2017 |
| Last Update Date | 12/19/2017 |
| Medicare PECOS PAC ID | 8820356108 |
|---|---|
| Medicare Enrollment ID | O20171214000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659885069 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | John A Adiet |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245429158 PECOS PAC ID: 5395823645 Enrollment ID: I20100602000882 |
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