| Space City Np Services | |
|
301 Falcon Lake Dr Friendswood TX 77546-5465 | |
| (832) 692-4416 | |
| Not Available |
| Full Name | Space City Np Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 301 Falcon Lake Dr, Friendswood, Texas |
| Authorized Official Name and Position | Danese Rexroad (NP) |
| Authorized Official Contact | 8326924416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Space City Np Services 301 Falcon Lake Dr Friendswood TX 77546-5465 Ph: () - | Space City Np Services 301 Falcon Lake Dr Friendswood TX 77546-5465 Ph: (832) 692-4416 |
| NPI Number | 1710492400 |
|---|---|
| Provider Enumeration Date | 12/04/2017 |
| Last Update Date | 12/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710492400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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