| Total Access Medical Directory Llc | |
|
1946 Pasadena Blvd Pasadena TX 77502-2742 | |
| (832) 203-5992 | |
| (866) 611-7531 |
| Full Name | Total Access Medical Directory Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1946 Pasadena Blvd, Pasadena, Texas |
| Authorized Official Name and Position | Sundar Alvin Dhamotharan (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8322035992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Access Medical Directory Llc 16610 Mystic Harbor Ln Houston TX 77095-4597 Ph: (346) 205-4388 | Total Access Medical Directory Llc 1946 Pasadena Blvd Pasadena TX 77502-2742 Ph: (832) 203-5992 |
| NPI Number | 1790389062 |
|---|---|
| Provider Enumeration Date | 11/26/2020 |
| Last Update Date | 11/26/2020 |
| Medicare PECOS PAC ID | 4981017225 |
|---|---|
| Medicare Enrollment ID | O20210106001742 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790389062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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