| Lvwell Pllc | |
|
7030 Fm 1488 Rd Ste 220 Magnolia TX 77354-6772 | |
| (346) 703-2075 | |
| Not Available |
| Full Name | Lvwell Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7030 Fm 1488 Rd Ste 220, Magnolia, Texas |
| Authorized Official Name and Position | Justin Hogan (OWNER) |
| Authorized Official Contact | 3467032075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lvwell Pllc 7030 Fm 1488 Rd Ste 220 Magnolia TX 77354-6772 Ph: () - | Lvwell Pllc 7030 Fm 1488 Rd Ste 220 Magnolia TX 77354-6772 Ph: (346) 703-2075 |
| NPI Number | 1235826173 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 04/20/2023 |
| Medicare PECOS PAC ID | 4082070578 |
|---|---|
| Medicare Enrollment ID | O20230526000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235826173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Justin N Hogan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104243120 PECOS PAC ID: 0244529048 Enrollment ID: I20180116002349 |
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