Steadfast Primary Care, Llc | |
24968 Katy Ranch Rd Unit 300 Katy TX 77494-3407 | |
(346) 998-5000 | |
(281) 394-2057 |
Full Name | Steadfast Primary Care, Llc |
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Speciality | Family Medicine |
Location | 24968 Katy Ranch Rd Unit 300, Katy, Texas |
Authorized Official Name and Position | Steve Hardie (PRACTICE MANAGER) |
Authorized Official Contact | 3469985000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Steadfast Primary Care, Llc 3916 Lily Park Ln Fulshear TX 77441-1875 Ph: (346) 307-5707 | Steadfast Primary Care, Llc 24968 Katy Ranch Rd Unit 300 Katy TX 77494-3407 Ph: (346) 998-5000 |
NPI Number | 1144852112 |
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Provider Enumeration Date | 02/07/2020 |
Last Update Date | 01/31/2024 |
Medicare PECOS PAC ID | 6204257421 |
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Medicare Enrollment ID | O20200526001832 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144852112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Silvia G Los |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790896389 PECOS PAC ID: 8426056854 Enrollment ID: I20191001003006 |
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