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211 S College Ave Cleveland TX 77327-4503 | |
(281) 592-8622 | |
(281) 592-8699 |
Full Name | |
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Speciality | Clinic/center |
Location | 211 S College Ave, Cleveland, Texas |
Authorized Official Name and Position | Sreenivasulu Cherlo (OWNER) |
Authorized Official Contact | 2815928622 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 5999 Kingwood TX 77325-5999 Ph: (281) 592-8622 | 211 S College Ave Cleveland TX 77327-4503 Ph: (281) 592-8622 |
NPI Number | 1114477445 |
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Provider Enumeration Date | 10/11/2016 |
Last Update Date | 10/11/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114477445 | NPI | - | NPPES |
111766506 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Prime Medic, P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 S College Ave, Cleveland, TX 77327 Phone: 281-592-8622 Fax: 281-592-8699 | |
Memorial Rehab Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 N College Ave, Suite 1001, Cleveland, TX 77327 Phone: 281-592-2426 Fax: 281-593-0060 |