Primary Care Of Van Vleck, Pllc | |
170 S 4th St #2 Van Vleck TX 77482 | |
(979) 245-2421 | |
(979) 245-6263 |
Full Name | Primary Care Of Van Vleck, Pllc |
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Speciality | Internal Medicine |
Location | 170 S 4th St, Van Vleck, Texas |
Authorized Official Name and Position | Mohammed Atiq Dada (OWNER) |
Authorized Official Contact | 9792452421 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Of Van Vleck, Pllc Po Box 2660 Bay City TX 77404-2660 Ph: (979) 245-2421 | Primary Care Of Van Vleck, Pllc 170 S 4th St #2 Van Vleck TX 77482 Ph: (979) 245-2421 |
NPI Number | 1467190421 |
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Provider Enumeration Date | 05/20/2022 |
Last Update Date | 05/23/2022 |
Medicare PECOS PAC ID | 3173909991 |
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Medicare Enrollment ID | O20221003001111 |
Identifier | Type | State | Issuer |
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1467190421 | NPI | - | NPPES |
Provider Name | Mohammed Atiq Dada |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942287826 PECOS PAC ID: 1850339771 Enrollment ID: I20080805000618 |
Provider Name | Uzma Rahat |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811180235 PECOS PAC ID: 5698833119 Enrollment ID: I20081027000729 |
Provider Name | Fabio G Aglieco |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801031992 PECOS PAC ID: 4082750047 Enrollment ID: I20110413000201 |
Provider Name | Jennifer L Kucera |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952741084 PECOS PAC ID: 7012150402 Enrollment ID: I20130904000654 |
Provider Name | Naveed Shahid Anwar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497061931 PECOS PAC ID: 7517270952 Enrollment ID: I20150714003050 |
Provider Name | Andrea Todd |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346873437 PECOS PAC ID: 0547671976 Enrollment ID: I20201116001884 |