| Woodlands Vein Center & Preventative Medicine Clinic | |
|
150 Pine Forest Dr Ste 703 Shenandoah TX 77384-5317 | |
| (281) 939-5915 | |
| Not Available |
| Full Name | Woodlands Vein Center & Preventative Medicine Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 Pine Forest Dr Ste 703, Shenandoah, Texas |
| Authorized Official Name and Position | Arindam Mohon Banerjee (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 2817953386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodlands Vein Center & Preventative Medicine Clinic 150 Pine Forest Dr Ste 703 Shenandoah TX 77384-5317 Ph: (281) 795-3386 | Woodlands Vein Center & Preventative Medicine Clinic 150 Pine Forest Dr Ste 703 Shenandoah TX 77384-5317 Ph: (281) 939-5915 |
| NPI Number | 1790366714 |
|---|---|
| Provider Enumeration Date | 04/20/2021 |
| Last Update Date | 09/05/2024 |
| Medicare PECOS PAC ID | 4183028293 |
|---|---|
| Medicare Enrollment ID | O20210812000066 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790366714 | NPI | - | NPPES |
| Provider Name | Arindam M Banerjee |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861402810 PECOS PAC ID: 2163423542 Enrollment ID: I20070129000030 |
| Provider Name | Eliza Beth Codd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033539952 PECOS PAC ID: 4587983275 Enrollment ID: I20150430001661 |
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