| Rios Family Medicine Clinic Pa | |
|
23920 Katy Freeway Suite 500 Katy TX 77494 | |
| (281) 391-5011 | |
| (281) 391-5019 |
| Full Name | Rios Family Medicine Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 23920 Katy Freeway, Katy, Texas |
| Authorized Official Name and Position | Gaddiel D Rios (PRESIDENT) |
| Authorized Official Contact | 2813915011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rios Family Medicine Clinic Pa Po Box 6922 Katy TX 77491-6922 Ph: (281) 391-5011 | Rios Family Medicine Clinic Pa 23920 Katy Freeway Suite 500 Katy TX 77494 Ph: (281) 391-5011 |
| NPI Number | 1790991776 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2466469275 |
|---|---|
| Medicare Enrollment ID | O20060320000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790991776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Gaddiel Rios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598746331 PECOS PAC ID: 8729095534 Enrollment ID: I20060320000090 |
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