Pearland Family Health Center | |
2552 Broadway St Ste 102 Pearland TX 77581-4904 | |
(281) 824-1480 | |
Not Available |
Full Name | Pearland Family Health Center |
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Speciality | Clinic/Center |
Location | 2552 Broadway St Ste 102, Pearland, Texas |
Authorized Official Name and Position | Brandy Smith (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2818241480 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pearland Family Health Center 1111 W Adoue St Alvin TX 77511-2718 Ph: (281) 824-1480 | Pearland Family Health Center 2552 Broadway St Ste 102 Pearland TX 77581-4904 Ph: (281) 824-1480 |
NPI Number | 1629577416 |
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Provider Enumeration Date | 02/07/2018 |
Last Update Date | 03/26/2024 |
Medicare PECOS PAC ID | 6204977127 |
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Medicare Enrollment ID | O20190124003709 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629577416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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