| Immediate Care Medical Center, Pllc | |
|
1101 Alma St Ste 102 Tomball TX 77375-4559 | |
| (832) 843-7075 | |
| (832) 843-7157 |
| Full Name | Immediate Care Medical Center, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1101 Alma St Ste 102, Tomball, Texas |
| Authorized Official Name and Position | Hang A Le (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8328437075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediate Care Medical Center, Pllc 1101 Alma St Ste 102 Tomball TX 77375-4559 Ph: (832) 843-7075 | Immediate Care Medical Center, Pllc 1101 Alma St Ste 102 Tomball TX 77375-4559 Ph: (832) 843-7075 |
| NPI Number | 1144798075 |
|---|---|
| Provider Enumeration Date | 11/08/2018 |
| Last Update Date | 10/18/2023 |
| Medicare PECOS PAC ID | 1850636713 |
|---|---|
| Medicare Enrollment ID | O20181220001921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144798075 | NPI | - | NPPES |
| 3929531 | Medicaid | TX | |
| PENDING | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nguyen P Huynh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457462954 PECOS PAC ID: 0648297820 Enrollment ID: I20150826002442 |
| Provider Name | Hang A Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982618310 PECOS PAC ID: 1153391248 Enrollment ID: I20160204002378 |
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