| Sugar Land Family Healthcare ,p.a. | |
|
15200 Southwest Fwy Ste 100 Sugar Land TX 77478-3863 | |
| (281) 250-0816 | |
| Not Available |
| Full Name | Sugar Land Family Healthcare ,p.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 15200 Southwest Fwy Ste 100, Sugar Land, Texas |
| Authorized Official Name and Position | Mark Odell Sanders (PRESIDENT) |
| Authorized Official Contact | 2812500816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sugar Land Family Healthcare ,p.a. 15200 Southwest Fwy Ste 100 Sugar Land TX 77478-3863 Ph: () - | Sugar Land Family Healthcare ,p.a. 15200 Southwest Fwy Ste 100 Sugar Land TX 77478-3863 Ph: (281) 250-0816 |
| NPI Number | 1043446990 |
|---|---|
| Provider Enumeration Date | 06/05/2009 |
| Last Update Date | 03/23/2022 |
| Medicare PECOS PAC ID | 2466504840 |
|---|---|
| Medicare Enrollment ID | O20090715000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043446990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F4475 (Texas) | Primary |
| Provider Name | Mark O Sanders |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760417547 PECOS PAC ID: 1153223193 Enrollment ID: I20090619000396 |
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