| Prezas Family Medicine, P.a. | |
|
120 Flag Lake Dr Suite 2 Lake Jackson TX 77566-6201 | |
| (979) 297-7555 | |
| (979) 297-7552 |
| Full Name | Prezas Family Medicine, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 120 Flag Lake Dr, Lake Jackson, Texas |
| Authorized Official Name and Position | Roland Prezas (PHYSICIAN) |
| Authorized Official Contact | 9792977555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prezas Family Medicine, P.a. 120 Flag Lake Dr Suite 2 Lake Jackson TX 77566-6201 Ph: (979) 297-7555 | Prezas Family Medicine, P.a. 120 Flag Lake Dr Suite 2 Lake Jackson TX 77566-6201 Ph: (979) 297-7555 |
| NPI Number | 1275672560 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275672560 | NPI | - | NPPES |
| 80589073 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L4656 (Texas) | Primary |
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