| Magnificat Primary Care Llc | |
|
17833 Kuykendahl Rd Spring TX 77379-1109 | |
| (328) 698-2127 | |
| (832) 698-2976 |
| Full Name | Magnificat Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 17833 Kuykendahl Rd, Spring, Texas |
| Authorized Official Name and Position | Araceli Amador (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8326982127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnificat Primary Care Llc 17833 Kuykendahl Rd Spring TX 77379-1109 Ph: (832) 610-7225 | Magnificat Primary Care Llc 17833 Kuykendahl Rd Spring TX 77379-1109 Ph: (328) 698-2127 |
| NPI Number | 1063950459 |
|---|---|
| Provider Enumeration Date | 02/06/2017 |
| Last Update Date | 01/11/2023 |
| Medicare PECOS PAC ID | 5496029472 |
|---|---|
| Medicare Enrollment ID | O20170915000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063950459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Araceli Amador |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881891489 PECOS PAC ID: 9537331707 Enrollment ID: I20170915000052 |
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