| Green Health Clinic | |
|
8945 Long Point Rd #114 Houston TX 77055-3034 | |
| (713) 932-0240 | |
| (713) 932-0252 |
| Full Name | Green Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 8945 Long Point Rd, Houston, Texas |
| Authorized Official Name and Position | Yong S Kim (PRESIDENT) |
| Authorized Official Contact | 7139320240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Health Clinic 8830 Long Point Rd Suite 105 Houston TX 77055-3034 Ph: (713) 932-0240 | Green Health Clinic 8945 Long Point Rd #114 Houston TX 77055-3034 Ph: (713) 932-0240 |
| NPI Number | 1578703989 |
|---|---|
| Provider Enumeration Date | 02/25/2009 |
| Last Update Date | 12/05/2013 |
| Medicare PECOS PAC ID | 8820155054 |
|---|---|
| Medicare Enrollment ID | O20090316000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578703989 | NPI | - | NPPES |
| 176400301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M1834 (Texas) | Primary |
| Provider Name | Yong Sik Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679576094 PECOS PAC ID: 3072538800 Enrollment ID: I20051011000833 |
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