Heights Family Practice Pllc | |
2404 Smith Ranch Rd Suite 200 Pearland TX 77584-5233 | |
(713) 436-4333 | |
(713) 436-4423 |
Full Name | Heights Family Practice Pllc |
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Speciality | Family Medicine |
Location | 2404 Smith Ranch Rd, Pearland, Texas |
Authorized Official Name and Position | Riaz Ul Haque (PRESIDENT/ DIRECTOR) |
Authorized Official Contact | 5042969674 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Heights Family Practice Pllc 2404 Smith Ranch Rd Suite 200 Pearland TX 77584-5233 Ph: (713) 436-4333 | Heights Family Practice Pllc 2404 Smith Ranch Rd Suite 200 Pearland TX 77584-5233 Ph: (713) 436-4333 |
NPI Number | 1679813729 |
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Provider Enumeration Date | 02/27/2013 |
Last Update Date | 11/11/2013 |
Medicare PECOS PAC ID | 5193956530 |
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Medicare Enrollment ID | O20140327001028 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679813729 | NPI | - | NPPES |
M5211 | Other | TX | TEXAS MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M5211 (Texas) | Primary |
Provider Name | Riaz U Haque |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881697852 PECOS PAC ID: 8527044833 Enrollment ID: I20140327001549 |
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