| Telecov Center Llc | |
|
1000 Fm 1960 Rd W Ste 108 Houston TX 77090-2534 | |
| (941) 444-6758 | |
| (850) 777-3027 |
| Full Name | Telecov Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1000 Fm 1960 Rd W Ste 108, Houston, Texas |
| Authorized Official Name and Position | Mickey Weaver (OWNER) |
| Authorized Official Contact | 9414446758 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Telecov Center Llc 1000 Fm 1960 Rd W Ste 108 Houston TX 77090-2534 Ph: (941) 444-6758 | Telecov Center Llc 1000 Fm 1960 Rd W Ste 108 Houston TX 77090-2534 Ph: (941) 444-6758 |
| NPI Number | 1407509540 |
|---|---|
| Provider Enumeration Date | 01/29/2022 |
| Last Update Date | 02/16/2022 |
| Medicare PECOS PAC ID | 0648650390 |
|---|---|
| Medicare Enrollment ID | O20220712001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407509540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Marcel D Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1265593875 PECOS PAC ID: 3678674439 Enrollment ID: I20070723000866 |
| Provider Name | Avni Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417078999 PECOS PAC ID: 9537248646 Enrollment ID: I20201102000488 |
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