| Russell C Vanbiber Md, Pllc | |
|
2500 Fondren Rd Suite Number 255 Houston TX 77063-2308 | |
| (832) 769-3313 | |
| (832) 769-3307 |
| Full Name | Russell C Vanbiber Md, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2500 Fondren Rd, Houston, Texas |
| Authorized Official Name and Position | Russell C Vanbiber (PHYSICIAN) |
| Authorized Official Contact | 8327693313 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell C Vanbiber Md, Pllc 2500 Fondren Rd Suite Number 255 Houston TX 77063-2308 Ph: (832) 769-3313 | Russell C Vanbiber Md, Pllc 2500 Fondren Rd Suite Number 255 Houston TX 77063-2308 Ph: (832) 769-3313 |
| NPI Number | 1356712095 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 10/07/2015 |
| Medicare PECOS PAC ID | 4981904299 |
|---|---|
| Medicare Enrollment ID | O20151118000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356712095 | NPI | - | NPPES |
| TXB164779 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | G5728 (Texas) | Primary |
| Provider Name | Russell C Vanbiber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518983303 PECOS PAC ID: 8921122862 Enrollment ID: I20100830001119 |
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