| Guardian Family Medicine Pllc | |
|
600 S Conroe Medical Dr Ste 102 Conroe TX 77304-5341 | |
| (936) 304-1166 | |
| (936) 244-4378 |
| Full Name | Guardian Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 600 S Conroe Medical Dr Ste 102, Conroe, Texas |
| Authorized Official Name and Position | Ara Jenevizian (PROVIDER/OWNER) |
| Authorized Official Contact | 9363041166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guardian Family Medicine Pllc Po Box 8399 Spring TX 77387-8399 Ph: (936) 304-1166 | Guardian Family Medicine Pllc 600 S Conroe Medical Dr Ste 102 Conroe TX 77304-5341 Ph: (936) 304-1166 |
| NPI Number | 1811612450 |
|---|---|
| Provider Enumeration Date | 10/06/2022 |
| Last Update Date | 10/06/2022 |
| Medicare PECOS PAC ID | 5395113096 |
|---|---|
| Medicare Enrollment ID | O20221201000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811612450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ara Jenevizian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245275718 PECOS PAC ID: 7012084411 Enrollment ID: I20160114002587 |
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