| Cordial Care Family Practice | |
|
208 Oak Dr S Ste 501 Lake Jackson TX 77566-5789 | |
| (979) 267-7722 | |
| (979) 428-1199 |
| Full Name | Cordial Care Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 208 Oak Dr S Ste 501, Lake Jackson, Texas |
| Authorized Official Name and Position | Augnes Christy Binu (FNP-C, ACNPC-AG) |
| Authorized Official Contact | 9792677722 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cordial Care Family Practice 208 Oak Dr S Ste 501 Lake Jackson TX 77566-5789 Ph: (979) 267-7722 | Cordial Care Family Practice 208 Oak Dr S Ste 501 Lake Jackson TX 77566-5789 Ph: (979) 267-7722 |
| NPI Number | 1184200248 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 11/12/2023 |
| Medicare PECOS PAC ID | 4284043365 |
|---|---|
| Medicare Enrollment ID | O20210430000723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184200248 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Augnes C Binu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366984106 PECOS PAC ID: 7416366505 Enrollment ID: I20210430001097 |
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