| Mohit Bansal Md, Pa | |
|
2310 Fm 1960 Rd W Suite B Houston TX 77068-3727 | |
| (832) 592-7712 | |
| (832) 380-7998 |
| Full Name | Mohit Bansal Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 2310 Fm 1960 Rd W, Houston, Texas |
| Authorized Official Name and Position | Mohit Bansal (OWNER) |
| Authorized Official Contact | 8325927712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohit Bansal Md, Pa 2310 Fm 1960 Rd W Suite B Houston TX 77068-3727 Ph: (832) 592-7712 | Mohit Bansal Md, Pa 2310 Fm 1960 Rd W Suite B Houston TX 77068-3727 Ph: (832) 592-7712 |
| NPI Number | 1366795239 |
|---|---|
| Provider Enumeration Date | 10/17/2012 |
| Last Update Date | 10/17/2012 |
| Medicare PECOS PAC ID | 2567600315 |
|---|---|
| Medicare Enrollment ID | O20130606000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366795239 | NPI | - | NPPES |
| 0049XT | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N3476 (Texas) | Primary |
| Provider Name | Mohit Bansal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942422852 PECOS PAC ID: 4284780172 Enrollment ID: I20090917000393 |
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