Rocky Creek Integrated Medical & Wellness Center, Llc | |
3281 Rocky Creek Dr Ste 200 Missouri City TX 77459-4750 | |
(281) 607-5551 | |
Not Available |
Full Name | Rocky Creek Integrated Medical & Wellness Center, Llc |
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Speciality | Family Medicine |
Location | 3281 Rocky Creek Dr Ste 200, Missouri City, Texas |
Authorized Official Name and Position | Scott Wadman (PRESIDENT) |
Authorized Official Contact | 2816075551 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rocky Creek Integrated Medical & Wellness Center, Llc 3281 Rocky Creek Dr Ste 200 Missouri City TX 77459-4750 Ph: () - | Rocky Creek Integrated Medical & Wellness Center, Llc 3281 Rocky Creek Dr Ste 200 Missouri City TX 77459-4750 Ph: (281) 607-5551 |
NPI Number | 1255033015 |
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Provider Enumeration Date | 03/17/2023 |
Last Update Date | 03/17/2023 |
Medicare PECOS PAC ID | 9638536741 |
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Medicare Enrollment ID | O20230606000433 |
Identifier | Type | State | Issuer |
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1255033015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Maheen Ali |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1548849557 PECOS PAC ID: 6305228206 Enrollment ID: I20230424001084 |
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