| Pearland Integrative Family Medicine Clinic | |
|
3129 Kingsley Drive Suite 440 Pearland TX 77584-8258 | |
| (713) 412-3251 | |
| (832) 426-7770 |
| Full Name | Pearland Integrative Family Medicine Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3129 Kingsley Drive, Pearland, Texas |
| Authorized Official Name and Position | Khursheed Banglawala (OWNER) |
| Authorized Official Contact | 7134123251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearland Integrative Family Medicine Clinic 11901 Cedar Creek Dr Pearland TX 77584-1636 Ph: (832) 512-9267 | Pearland Integrative Family Medicine Clinic 3129 Kingsley Drive Suite 440 Pearland TX 77584-8258 Ph: (713) 412-3251 |
| NPI Number | 1093202764 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 06/24/2021 |
| Medicare PECOS PAC ID | 2062777170 |
|---|---|
| Medicare Enrollment ID | O20180521000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093202764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L8609 (Texas) | Primary |
| Provider Name | Khursheed Banglawala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720035546 PECOS PAC ID: 9931112521 Enrollment ID: I20060727000136 |
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