Texana Center | |
4910 Airport Ave Bldg D Rosenberg TX 77471-5759 | |
(281) 239-1369 | |
(281) 239-0828 |
Full Name | Texana Center |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 4910 Airport Ave Bldg D, Rosenberg, Texas |
Authorized Official Name and Position | Amanda A Darr (CFO) |
Authorized Official Contact | 2812391350 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Texana Center 4910 Airport Ave Bldg D Rosenberg TX 77471 Ph: (281) 239-1369 | Texana Center 4910 Airport Ave Bldg D Rosenberg TX 77471-5759 Ph: (281) 239-1369 |
NPI Number | 1841394590 |
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Provider Enumeration Date | 09/12/2006 |
Last Update Date | 08/02/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841394590 | NPI | - | NPPES |
111412603 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (Texas) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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