| Texas City Clinic Pllc | |
|
8030 Fm 1765 Ste C102 Texas City TX 77591-3689 | |
| (832) 660-7280 | |
| Not Available |
| Full Name | Texas City Clinic Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8030 Fm 1765 Ste C102, Texas City, Texas |
| Authorized Official Name and Position | Catharine Nformangum (NURSE PRACTITIONER) |
| Authorized Official Contact | 8326607280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas City Clinic Pllc 8030 Fm 1765 Ste C102 Texas City TX 77591-3689 Ph: (832) 660-7280 | Texas City Clinic Pllc 8030 Fm 1765 Ste C102 Texas City TX 77591-3689 Ph: (832) 660-7280 |
| NPI Number | 1639507064 |
|---|---|
| Provider Enumeration Date | 10/22/2013 |
| Last Update Date | 06/20/2018 |
| Medicare PECOS PAC ID | 9234366162 |
|---|---|
| Medicare Enrollment ID | O20131220000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639507064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 747302 (Texas) | Primary |
| Provider Name | Catharine Nformangum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467798397 PECOS PAC ID: 7315184934 Enrollment ID: I20130518000026 |
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