Star Primary Care,pa | |
6516 Broadway St Suite 108 Pearland TX 77581-7880 | |
(281) 485-6322 | |
(281) 485-6306 |
Full Name | Star Primary Care,pa |
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Speciality | Internal Medicine |
Location | 6516 Broadway St, Pearland, Texas |
Authorized Official Name and Position | Jayendra K Patel (PRESIDENT) |
Authorized Official Contact | 2814856322 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Star Primary Care,pa 2914 Wickwood Dr Pearland TX 77584-5982 Ph: (281) 485-6322 | Star Primary Care,pa 6516 Broadway St Suite 108 Pearland TX 77581-7880 Ph: (281) 485-6322 |
NPI Number | 1326220088 |
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Provider Enumeration Date | 12/04/2007 |
Last Update Date | 12/04/2007 |
Medicare PECOS PAC ID | 3779554837 |
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Medicare Enrollment ID | O20040803000470 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326220088 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | L5866 (Texas) | Primary |
Provider Name | Jayendra Patel |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881782175 PECOS PAC ID: 9931170099 Enrollment ID: I20040804000752 |
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