| Heritage Family Clinic | |
|
20923 Kingsland Blvd Katy TX 77450-5548 | |
| (832) 515-9903 | |
| Not Available |
| Full Name | Heritage Family Clinic |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 20923 Kingsland Blvd, Katy, Texas |
| Authorized Official Name and Position | Arvin Nicolas M Garcia (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2815093585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Family Clinic 20923 Kingsland Blvd Katy TX 77450-5548 Ph: (832) 515-9903 | Heritage Family Clinic 20923 Kingsland Blvd Katy TX 77450-5548 Ph: (832) 515-9903 |
| NPI Number | 1144695826 |
|---|---|
| Provider Enumeration Date | 12/07/2015 |
| Last Update Date | 12/08/2020 |
| Medicare PECOS PAC ID | 3779873765 |
|---|---|
| Medicare Enrollment ID | O20160603000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144695826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | AP123192 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F1212090 (Texas) | Primary |
| Provider Name | Arvin Nicolas Miravite Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891318085 PECOS PAC ID: 9133548670 Enrollment ID: I20201001002106 |
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