| Luminance Health And Beauty Pllc | |
|
4502 Riverstone Blvd Ste 605 Missouri City TX 77459-5205 | |
| (281) 942-6226 | |
| Not Available |
| Full Name | Luminance Health And Beauty Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4502 Riverstone Blvd Ste 605, Missouri City, Texas |
| Authorized Official Name and Position | Chinh Quoc Pham (OWNER) |
| Authorized Official Contact | 2819426226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luminance Health And Beauty Pllc 7715 Tiburon Trl Sugar Land TX 77479-6157 Ph: (281) 942-6226 | Luminance Health And Beauty Pllc 4502 Riverstone Blvd Ste 605 Missouri City TX 77459-5205 Ph: (281) 942-6226 |
| NPI Number | 1750917209 |
|---|---|
| Provider Enumeration Date | 03/17/2020 |
| Last Update Date | 03/17/2020 |
| Medicare PECOS PAC ID | 0244658680 |
|---|---|
| Medicare Enrollment ID | O20200916001477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750917209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Chinh Pham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619148715 PECOS PAC ID: 1052489085 Enrollment ID: I20091103000511 |
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