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2121 Williams Trace Blvd Ste 300 Sugar Land TX 77478-4526 | |
| (281) 747-7620 | |
| (281) 747-7621 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 2121 Williams Trace Blvd Ste 300, Sugar Land, Texas |
| Authorized Official Name and Position | Pawan Pandya (ADMINISTRATOR) |
| Authorized Official Contact | 4097793138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2121 Williams Trace Blvd Sugar Land TX 77478-4526 Ph: (281) 747-7620 | 2121 Williams Trace Blvd Ste 300 Sugar Land TX 77478-4526 Ph: (281) 747-7620 |
| NPI Number | 1710739719 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 12/11/2024 |
| Medicare PECOS PAC ID | 4587196704 |
|---|---|
| Medicare Enrollment ID | O20241014001006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710739719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
Gulf Coast Diagnostic Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17510 W Grand Pkwy S Ste 180, Sugar Land, TX 77479 Phone: 832-973-1625 | |
Doctors Who Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 127 Monarch Trl, Sugar Land, TX 77498 Phone: 973-715-1448 | |
Fort Bend Geriatrics, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15200 Southwest Fwy, Suite 180, Sugar Land, TX 77478 Phone: 281-491-6767 Fax: 281-491-6768 | |
Shifa Healthcare & Community Services Usa Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10415 Synott Rd Bldg D, Sugar Land, TX 77498 Phone: 281-561-5767 Fax: 281-561-5759 | |
Villa Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14833 Southwest Fwy, Sugar Land, TX 77478 Phone: 281-207-8858 | |
Simcare, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2225 Williams Trace Blvd Ste 110, Sugar Land, TX 77478 Phone: 281-491-1911 | |
Key Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4645 Highway 6, Suite H, Sugar Land, TX 77478 Phone: 281-242-6889 Fax: 281-884-6071 |