| Woodlands Family Medicine Pllc | |
|
4185 Technology Forest Blvd Ste 210 The Woodlands TX 77381-2005 | |
| (936) 447-9483 | |
| (936) 447-9410 |
| Full Name | Woodlands Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4185 Technology Forest Blvd Ste 210, The Woodlands, Texas |
| Authorized Official Name and Position | Brent Allmon (MEMBER) |
| Authorized Official Contact | 8322297427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlands Family Medicine Pllc 4185 Technology Forest Blvd Ste 210 The Woodlands TX 77381-2005 Ph: (936) 447-9483 | Woodlands Family Medicine Pllc 4185 Technology Forest Blvd Ste 210 The Woodlands TX 77381-2005 Ph: (936) 447-9483 |
| NPI Number | 1912453473 |
|---|---|
| Provider Enumeration Date | 08/25/2016 |
| Last Update Date | 03/30/2023 |
| Medicare PECOS PAC ID | 5193003754 |
|---|---|
| Medicare Enrollment ID | O20161102000554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912453473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Brent M Allmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942253026 PECOS PAC ID: 8224933247 Enrollment ID: I20040925000132 |
| Provider Name | Lauren T Michels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962884023 PECOS PAC ID: 8426392622 Enrollment ID: I20181128002850 |
| Provider Name | Victoria Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255722021 PECOS PAC ID: 2062833320 Enrollment ID: I20200522001853 |
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