| Woodlands Premium Care Partners Llc | |
|
9180 Pinecroft Dr Ste 401 Shenandoah TX 77380-3899 | |
| (419) 699-4384 | |
| Not Available |
| Full Name | Woodlands Premium Care Partners Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9180 Pinecroft Dr Ste 401, Shenandoah, Texas |
| Authorized Official Name and Position | Mehtab Abbasi (OFFICE MANAGER) |
| Authorized Official Contact | 9173368422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlands Premium Care Partners Llc 920 Medical Plaza Dr Ste 550 Shenandoah TX 77380-3259 Ph: (419) 699-4384 | Woodlands Premium Care Partners Llc 9180 Pinecroft Dr Ste 401 Shenandoah TX 77380-3899 Ph: (419) 699-4384 |
| NPI Number | 1619695541 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 08/17/2022 |
| Medicare PECOS PAC ID | 1355710872 |
|---|---|
| Medicare Enrollment ID | O20221206000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619695541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Prasun Pushkarray Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1720575293 PECOS PAC ID: 5395960397 Enrollment ID: I20180629002146 |
| Provider Name | Jigar M Patel |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174967970 PECOS PAC ID: 2567739519 Enrollment ID: I20200511002305 |
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