| Mychn Lakejackson | |
|
120 Flag Lake Dr Ste 2 Lake Jackson TX 77566-6292 | |
| (281) 824-1480 | |
| (281) 220-6407 |
| Full Name | Mychn Lakejackson |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 120 Flag Lake Dr Ste 2, Lake Jackson, Texas |
| Authorized Official Name and Position | Brandy Smith (CREDENTIALING COORDINATOR II) |
| Authorized Official Contact | 2818241480 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mychn Lakejackson 1612 Callaway Dr Alvin TX 77511-3743 Ph: (281) 824-1480 | Mychn Lakejackson 120 Flag Lake Dr Ste 2 Lake Jackson TX 77566-6292 Ph: (281) 824-1480 |
| NPI Number | 1144905415 |
|---|---|
| Provider Enumeration Date | 06/15/2023 |
| Last Update Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144905415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Help Home Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Circle Way St Ste C, Lake Jackson, TX 77566 Phone: 979-480-0197 Fax: 979-480-0332 | |
Lake Jackson Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Oyster Creek Dr Ste W, Lake Jackson, TX 77566 Phone: 979-299-1200 Fax: 979-299-1205 | |
Tlc Family Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Parking Way St, Lake Jackson, TX 77566 Phone: 979-313-6278 Fax: 979-401-4175 | |
Gulf Coast Gastroenterology, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 219 Oak Dr S Ste A, Lake Jackson, TX 77566 Phone: 979-297-4033 Fax: 979-297-4099 | |
Theory Health Medical Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Oyster Creek Dr Ste E, Lake Jackson, TX 77566 Phone: 979-266-9401 | |
Raj Dalal Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 192 Abner Jackson Pkwy, Lake Jackson, TX 77566 Phone: 979-285-0007 Fax: 979-529-2309 |