| Texas Family Clinic Llc | |
|
18980 N Memorial Dr Ste 240 Humble TX 77338-4216 | |
| (240) 338-8331 | |
| Not Available |
| Full Name | Texas Family Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18980 N Memorial Dr Ste 240, Humble, Texas |
| Authorized Official Name and Position | Olubunmi Ogundadegbe (CEO) |
| Authorized Official Contact | 7139043455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Family Clinic Llc 18980 N Memorial Dr Ste 240 Humble TX 77338-4216 Ph: () - | Texas Family Clinic Llc 18980 N Memorial Dr Ste 240 Humble TX 77338-4216 Ph: (240) 338-8331 |
| NPI Number | 1437613742 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 04/07/2021 |
| Medicare PECOS PAC ID | 8022359744 |
|---|---|
| Medicare Enrollment ID | O20190408000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437613742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Olubunmi Ogundadegbe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821347279 PECOS PAC ID: 0648413062 Enrollment ID: I20130903000691 |
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