Lobiecare Inc | |
7523 Legacy Pines Dr Cypress TX 77433-2757 | |
(832) 483-0619 | |
Not Available |
Full Name | Lobiecare Inc |
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Speciality | Family Medicine |
Location | 7523 Legacy Pines Dr, Cypress, Texas |
Authorized Official Name and Position | Ismail O Adesanya (MEDICAL DIRECTOR) |
Authorized Official Contact | 8324830619 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lobiecare Inc 7523 Legacy Pines Dr Cypress TX 77433-2757 Ph: () - | Lobiecare Inc 7523 Legacy Pines Dr Cypress TX 77433-2757 Ph: (832) 483-0619 |
NPI Number | 1194125435 |
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Provider Enumeration Date | 08/22/2014 |
Last Update Date | 08/22/2014 |
Medicare PECOS PAC ID | 1759815509 |
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Medicare Enrollment ID | O20241115001101 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194125435 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | P5019 (Texas) | Primary |
Provider Name | Ismail Adesanya |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740412840 PECOS PAC ID: 1658522578 Enrollment ID: I20130808000727 |
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