| Life Care Primary Medical Associates Pllc | |
|
7103 S Peek Rd Ste 520 Richmond TX 77407-3498 | |
| (281) 712-7757 | |
| (281) 712-7758 |
| Full Name | Life Care Primary Medical Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7103 S Peek Rd Ste 520, Richmond, Texas |
| Authorized Official Name and Position | Samira Khan (DIRECTOR) |
| Authorized Official Contact | 8322090611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Care Primary Medical Associates Pllc 11569 S Highway 6 Pmb # 209 Sugar Land TX 77498-4932 Ph: (281) 712-7757 | Life Care Primary Medical Associates Pllc 7103 S Peek Rd Ste 520 Richmond TX 77407-3498 Ph: (281) 712-7757 |
| NPI Number | 1295217990 |
|---|---|
| Provider Enumeration Date | 08/30/2018 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Medicare PECOS PAC ID | 3971857822 |
|---|---|
| Medicare Enrollment ID | O20200225002582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295217990 | NPI | - | NPPES |
| 394557805 | Medicaid | TX |
| Provider Name | Samira Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508247842 PECOS PAC ID: 1153616511 Enrollment ID: I20181113002408 |
| Provider Name | Saji Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215600325 PECOS PAC ID: 2769889245 Enrollment ID: I20210927000671 |
| Provider Name | Salman Mallick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578892113 PECOS PAC ID: 5698924322 Enrollment ID: I20220407001003 |
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