| Pro Max Clinic Pllc | |
|
2743 Imperia Dr Ste 402 Sugar Land TX 77479-8988 | |
| (866) 439-3165 | |
| (832) 741-3449 |
| Full Name | Pro Max Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2743 Imperia Dr Ste 402, Sugar Land, Texas |
| Authorized Official Name and Position | Martin Kay (ADMINISTRATOR) |
| Authorized Official Contact | 8664393165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Max Clinic Pllc 2743 Imperia Dr Ste 402 Sugar Land TX 77479-8988 Ph: (832) 400-7766 | Pro Max Clinic Pllc 2743 Imperia Dr Ste 402 Sugar Land TX 77479-8988 Ph: (866) 439-3165 |
| NPI Number | 1497523229 |
|---|---|
| Provider Enumeration Date | 12/12/2023 |
| Last Update Date | 02/27/2024 |
| Medicare PECOS PAC ID | 9931559341 |
|---|---|
| Medicare Enrollment ID | O20231227003245 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497523229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| Provider Name | Riaz U Haque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881697852 PECOS PAC ID: 8527044833 Enrollment ID: I20140327001549 |
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