Inpatient Care Group Pa | |
500 W Medical Center Blvd Webster TX 77598-4220 | |
(281) 942-8001 | |
(281) 724-1919 |
Full Name | Inpatient Care Group Pa |
---|---|
Speciality | Internal Medicine |
Location | 500 W Medical Center Blvd, Webster, Texas |
Authorized Official Name and Position | Wajid A Mirza (OWNER) |
Authorized Official Contact | 8327243472 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Inpatient Care Group Pa Po Box 58294 Webster TX 77598-8294 Ph: (281) 942-8001 | Inpatient Care Group Pa 500 W Medical Center Blvd Webster TX 77598-4220 Ph: (281) 942-8001 |
NPI Number | 1538452446 |
---|---|
Provider Enumeration Date | 05/25/2011 |
Last Update Date | 08/22/2016 |
Medicare PECOS PAC ID | 4587842711 |
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Medicare Enrollment ID | O20110617000102 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538452446 | NPI | - | NPPES |
0099YB | Other | TX | BCBSTX |
DW0865 | Other | TX | RRMEDICARE |
342662901 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (Texas) | Primary |
Provider Name | Wajid A Mirza |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457349888 PECOS PAC ID: 3375509532 Enrollment ID: I20041208001200 |
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