| Infinitie Health Llc | |
|
135 Oyster Creek Dr Ste S Lake Jackson TX 77566-4117 | |
| (979) 297-3387 | |
| (877) 467-5216 |
| Full Name | Infinitie Health Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 135 Oyster Creek Dr Ste S, Lake Jackson, Texas |
| Authorized Official Name and Position | Stephanie Alisa Zamora (CLINICIAN, OWNER) |
| Authorized Official Contact | 9792973387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinitie Health Llc 135 Oyster Creek Dr Ste S Lake Jackson TX 77566-4117 Ph: (979) 297-3387 | Infinitie Health Llc 135 Oyster Creek Dr Ste S Lake Jackson TX 77566-4117 Ph: (979) 297-3387 |
| NPI Number | 1275307100 |
|---|---|
| Provider Enumeration Date | 11/10/2023 |
| Last Update Date | 11/10/2023 |
| Medicare PECOS PAC ID | 1557712007 |
|---|---|
| Medicare Enrollment ID | O20240109001950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275307100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Peter P Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780688028 PECOS PAC ID: 4789775008 Enrollment ID: I20070801000132 |
| Provider Name | Stephanie A Zamora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083845218 PECOS PAC ID: 3173708633 Enrollment ID: I20110426000827 |
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