| Lifestyle Medicine Clinic | |
|
26077 Nelson Way Ste 1202 Katy TX 77494-6698 | |
| (713) 785-1272 | |
| (713) 785-1295 |
| Full Name | Lifestyle Medicine Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 26077 Nelson Way Ste 1202, Katy, Texas |
| Authorized Official Name and Position | Mirna Aurora Puesan (DIRECTOR) |
| Authorized Official Contact | 7137851272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifestyle Medicine Clinic 25722 Kingsland Blvd Ste 205 Katy TX 77494-2643 Ph: (713) 785-1272 | Lifestyle Medicine Clinic 26077 Nelson Way Ste 1202 Katy TX 77494-6698 Ph: (713) 785-1272 |
| NPI Number | 1114566023 |
|---|---|
| Provider Enumeration Date | 12/26/2019 |
| Last Update Date | 03/21/2023 |
| Medicare PECOS PAC ID | 7012339799 |
|---|---|
| Medicare Enrollment ID | O20200625002092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114566023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mirna A Puesan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629292594 PECOS PAC ID: 0042548919 Enrollment ID: I20190830000379 |
Empowered Care Of Texas, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23022 Lanham Dr, Katy, TX 77450 Phone: 281-900-3148 Fax: 281-392-7432 | |
Anuradha Kantamani, Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 S Fry Rd, Ste 105, Katy, TX 77450 Phone: 281-398-5863 Fax: 281-398-1430 | |
Diabetes America Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 S Mason Road, Katy, TX 77450 Phone: 713-840-5150 Fax: 281-578-2509 | |
Sohail Noor,m.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 S Fry Rd, Suite 205, Katy, TX 77450 Phone: 281-206-8070 Fax: 281-206-8075 | |
Cinco Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24022 Cinco Village Center Blvd, Suite 240, Katy, TX 77494 Phone: 281-394-2390 Fax: 281-394-2395 | |
Complete Diabetes Care Of Katy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1331 West Grand Parkway North, 110, Katy, TX 77493 Phone: 281-394-0260 | |
Sovereign Diagnostic Evaluation Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22136 Westheimer Pkwy, Suite 629, Katy, TX 77450 Phone: 832-409-8508 |