| Northern Pines Health Partners Pa | |
|
8515 Spring Cypress Rd #108 Spring TX 77379-3354 | |
| (281) 376-2200 | |
| (281) 376-2205 |
| Full Name | Northern Pines Health Partners Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 8515 Spring Cypress Rd, Spring, Texas |
| Authorized Official Name and Position | Nguyen Duc Phan (DIRECTOR) |
| Authorized Official Contact | 2813762200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Pines Health Partners Pa 8515 Spring Cypress Rd Suite #108 Spring TX 77379-3354 Ph: (281) 376-2200 | Northern Pines Health Partners Pa 8515 Spring Cypress Rd #108 Spring TX 77379-3354 Ph: (281) 376-2200 |
| NPI Number | 1134322233 |
|---|---|
| Provider Enumeration Date | 06/06/2007 |
| Last Update Date | 07/10/2008 |
| Medicare PECOS PAC ID | 1557368180 |
|---|---|
| Medicare Enrollment ID | O20061024000582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134322233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | M6312 (Texas) | Primary |
| 207R00000X | Internal Medicine | L9848 (Texas) | Secondary |
| Provider Name | Nguyen D Phan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245266949 PECOS PAC ID: 8426018656 Enrollment ID: I20041013000144 |
| Provider Name | The-ngoc Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427257526 PECOS PAC ID: 7012089014 Enrollment ID: I20080709000057 |
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