| Shepherds Pediatric Care | |
|
106 Circle Way St Suite A Lake Jackson TX 77566-5202 | |
| (979) 297-3949 | |
| (979) 297-3919 |
| Full Name | Shepherds Pediatric Care |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 106 Circle Way St, Lake Jackson, Texas |
| Authorized Official Name and Position | Loni Lynn Shepherd (OWNER) |
| Authorized Official Contact | 9792973949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shepherds Pediatric Care 106 Circle Way St Suite A Lake Jackson TX 77566-5202 Ph: (979) 297-3949 | Shepherds Pediatric Care 106 Circle Way St Suite A Lake Jackson TX 77566-5202 Ph: (979) 297-3949 |
| NPI Number | 1790108454 |
|---|---|
| Provider Enumeration Date | 01/30/2014 |
| Last Update Date | 03/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790108454 | NPI | - | NPPES |
| 214871001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | N6017 (Texas) | Primary |
Help Home Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Circle Way St Ste C, Lake Jackson, TX 77566 Phone: 979-480-0197 Fax: 979-480-0332 | |
Lake Jackson Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Oyster Creek Dr Ste W, Lake Jackson, TX 77566 Phone: 979-299-1200 Fax: 979-299-1205 | |
Tlc Family Clinic Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 230 Parking Way St, Lake Jackson, TX 77566 Phone: 979-313-6278 Fax: 979-401-4175 | |
Gulf Coast Gastroenterology, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 219 Oak Dr S Ste A, Lake Jackson, TX 77566 Phone: 979-297-4033 Fax: 979-297-4099 | |
Theory Health Medical Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Oyster Creek Dr Ste E, Lake Jackson, TX 77566 Phone: 979-266-9401 | |
Raj Dalal Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 192 Abner Jackson Pkwy, Lake Jackson, TX 77566 Phone: 979-285-0007 Fax: 979-529-2309 | |
Mychn Lakejackson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Flag Lake Dr Ste 2, Lake Jackson, TX 77566 Phone: 281-824-1480 Fax: 281-220-6407 |