| Lone Star Family Health Center - Grangerland | |
|
13905 Grangerland Rd Conroe TX 77306-7809 | |
| (936) 539-4004 | |
| (936) 539-5997 |
| Full Name | Lone Star Family Health Center - Grangerland |
|---|---|
| Speciality | Clinic/Center |
| Location | 13905 Grangerland Rd, Conroe, Texas |
| Authorized Official Name and Position | Karen Harwell (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9365394004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lone Star Family Health Center - Grangerland 605 S Conroe Medical Dr Conroe TX 77304-4722 Ph: () - | Lone Star Family Health Center - Grangerland 13905 Grangerland Rd Conroe TX 77306-7809 Ph: (936) 539-4004 |
| NPI Number | 1679096358 |
|---|---|
| Provider Enumeration Date | 07/25/2017 |
| Last Update Date | 07/14/2021 |
| Medicare PECOS PAC ID | 7416841994 |
|---|---|
| Medicare Enrollment ID | O20170809000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679096358 | NPI | - | NPPES |
| 3778540-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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