| Lone Star Family Health Center - Spring | |
|
440 Rayford Rd Ste 150 Spring TX 77386-4169 | |
| (936) 539-4004 | |
| Not Available |
| Full Name | Lone Star Family Health Center - Spring |
|---|---|
| Speciality | Clinic/Center |
| Location | 440 Rayford Rd Ste 150, Spring, 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 - Spring 605 S Conroe Medical Dr Conroe TX 77304-4722 Ph: () - | Lone Star Family Health Center - Spring 440 Rayford Rd Ste 150 Spring TX 77386-4169 Ph: (936) 539-4004 |
| NPI Number | 1790115103 |
|---|---|
| Provider Enumeration Date | 11/21/2013 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 7416841994 |
|---|---|
| Medicare Enrollment ID | O20140429000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790115103 | NPI | - | NPPES |
| 3305716-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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