| Mgab Med Pllc | |
|
4220 Cartwright Rd Ste 703 Missouri City TX 77459-5312 | |
| (281) 969-8777 | |
| (281) 916-6304 |
| Full Name | Mgab Med Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4220 Cartwright Rd Ste 703, Missouri City, Texas |
| Authorized Official Name and Position | Azam Bakhshandeh (FNP) |
| Authorized Official Contact | 2819698777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mgab Med Pllc 4220 Cartwright Rd Ste 703 Missouri City TX 77459-5312 Ph: (281) 969-8777 | Mgab Med Pllc 4220 Cartwright Rd Ste 703 Missouri City TX 77459-5312 Ph: (281) 969-8777 |
| NPI Number | 1942916465 |
|---|---|
| Provider Enumeration Date | 01/27/2023 |
| Last Update Date | 01/27/2023 |
| Medicare PECOS PAC ID | 6103299433 |
|---|---|
| Medicare Enrollment ID | O20230307001041 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942916465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Azam Bakhshandeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285236430 PECOS PAC ID: 6901290758 Enrollment ID: I20220222000936 |
| Provider Name | Amirsaeid Ghamary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548993769 PECOS PAC ID: 6507241627 Enrollment ID: I20220909002175 |
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