Severino Pimentel Md Pa | |
21304 Provincial Blvd Katy TX 77450-7580 | |
(281) 206-8280 | |
(281) 206-8285 |
Full Name | Severino Pimentel Md Pa |
---|---|
Speciality | Clinic/Center |
Location | 21304 Provincial Blvd, Katy, Texas |
Authorized Official Name and Position | Severino Pimentel (OWNER) |
Authorized Official Contact | 2812068280 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Severino Pimentel Md Pa 21304 Provincial Blvd Katy TX 77450-7580 Ph: (281) 206-8280 | Severino Pimentel Md Pa 21304 Provincial Blvd Katy TX 77450-7580 Ph: (281) 206-8280 |
NPI Number | 1710415286 |
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Provider Enumeration Date | 05/30/2017 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 0446510341 |
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Medicare Enrollment ID | O20180215000512 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710415286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | K5380 (Texas) | Primary |
Provider Name | Severino M Pimentel |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003844820 PECOS PAC ID: 2163529652 Enrollment ID: I20070517000372 |
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