| Pearland Family Wellness Clinic Llc | |
|
3569 Business Center Dr Ste 160 Pearland TX 77584-1914 | |
| (855) 877-5977 | |
| (832) 603-4755 |
| Full Name | Pearland Family Wellness Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3569 Business Center Dr Ste 160, Pearland, Texas |
| Authorized Official Name and Position | Enas Kaseb (OWNER) |
| Authorized Official Contact | 2489103092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearland Family Wellness Clinic Llc 3569 Business Center Dr Ste 160 Pearland TX 77584-1914 Ph: (855) 877-5977 | Pearland Family Wellness Clinic Llc 3569 Business Center Dr Ste 160 Pearland TX 77584-1914 Ph: (855) 877-5977 |
| NPI Number | 1548970791 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 05/08/2023 |
| Medicare PECOS PAC ID | 8628434206 |
|---|---|
| Medicare Enrollment ID | O20230524002227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548970791 | NPI | - | NPPES |
| 1912126913 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Enas H Kaseb |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912126913 PECOS PAC ID: 2668573213 Enrollment ID: I20081023000709 |
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