Tejano Medical Clinic Pllc | |
5608 Pinemont Dr Ste A Houston TX 77092-2622 | |
(832) 317-5351 | |
Not Available |
Full Name | Tejano Medical Clinic Pllc |
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Speciality | Clinic/Center |
Location | 5608 Pinemont Dr Ste A, Houston, Texas |
Authorized Official Name and Position | Francisco J Ayala (SOLE MEMBER) |
Authorized Official Contact | 8323175351 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tejano Medical Clinic Pllc 6903 Du Boise Rd Houston TX 77091-1607 Ph: (832) 317-5351 | Tejano Medical Clinic Pllc 5608 Pinemont Dr Ste A Houston TX 77092-2622 Ph: (832) 317-5351 |
NPI Number | 1336964204 |
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Provider Enumeration Date | 11/18/2024 |
Last Update Date | 11/18/2024 |
Medicare PECOS PAC ID | 2860927811 |
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Medicare Enrollment ID | O20241127001696 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336964204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Francisco J Ayala |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013569680 PECOS PAC ID: 3870923345 Enrollment ID: I20200423002911 |
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