| Pre Med Care Clinic, Llc | |
|
5420 Bellaire Blvd Ste A Bellaire TX 77401-3957 | |
| (713) 663-6322 | |
| (713) 663-6944 |
| Full Name | Pre Med Care Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5420 Bellaire Blvd Ste A, Bellaire, Texas |
| Authorized Official Name and Position | Rodis Briggs (BILLING MGR) |
| Authorized Official Contact | 9362589361 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pre Med Care Clinic, Llc 5420 Bellaire Blvd Ste A Bellaire TX 77401-3957 Ph: (713) 663-6322 | Pre Med Care Clinic, Llc 5420 Bellaire Blvd Ste A Bellaire TX 77401-3957 Ph: (713) 663-6322 |
| NPI Number | 1861404691 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 09/23/2015 |
| Medicare PECOS PAC ID | 3476792151 |
|---|---|
| Medicare Enrollment ID | O20130611000284 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861404691 | NPI | - | NPPES |
| 0079EM | Other | TX | BCBS |
| 169667603 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Texas) | Primary |
| Provider Name | Marco R Escobar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063510493 PECOS PAC ID: 8123083128 Enrollment ID: I20041201000168 |
| Provider Name | Marisa R Lanuza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801813704 PECOS PAC ID: 1456426451 Enrollment ID: I20080826000161 |
| Provider Name | Rodolfo G Giraldi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659569028 PECOS PAC ID: 4082749171 Enrollment ID: I20100315000461 |
| Provider Name | Victoria G Faires |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184047110 PECOS PAC ID: 5496978025 Enrollment ID: I20140528001862 |
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