Thomas Family Practice And Rejuvenation | |
2111 W Parkwood Ave Ste 113 Friendswood TX 77546-8602 | |
(281) 712-8033 | |
Not Available |
Full Name | Thomas Family Practice And Rejuvenation |
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Speciality | Family Medicine |
Location | 2111 W Parkwood Ave Ste 113, Friendswood, Texas |
Authorized Official Name and Position | Humaira Qureshi (ENROLLMENT MANAGER) |
Authorized Official Contact | 2817128033 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thomas Family Practice And Rejuvenation 4901 Holloway Rd Alvin TX 77511-9496 Ph: () - | Thomas Family Practice And Rejuvenation 2111 W Parkwood Ave Ste 113 Friendswood TX 77546-8602 Ph: (281) 712-8033 |
NPI Number | 1881351468 |
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Provider Enumeration Date | 11/18/2021 |
Last Update Date | 08/10/2023 |
Medicare PECOS PAC ID | 4789070095 |
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Medicare Enrollment ID | O20220413000051 |
Identifier | Type | State | Issuer |
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1881351468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Suchmor Thomas |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1720292550 PECOS PAC ID: 2769552348 Enrollment ID: I20080609000614 |
Provider Name | Niki M Hodges |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417201732 PECOS PAC ID: 0547407751 Enrollment ID: I20130507000617 |
Provider Name | Rachel D Espinal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669955845 PECOS PAC ID: 1052655669 Enrollment ID: I20181210001134 |
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