| 713 Loves | |
|
1110 Texas Pkwy Ste 600 Stafford TX 77477-6497 | |
| (281) 499-2399 | |
| Not Available |
| Full Name | 713 Loves |
|---|---|
| Speciality | Family Medicine |
| Location | 1110 Texas Pkwy Ste 600, Stafford, Texas |
| Authorized Official Name and Position | Michael Jackson (DIRECTOR) |
| Authorized Official Contact | 3103508180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 713 Loves 1110 Texas Pkwy Ste 600 Stafford TX 77477-6497 | 713 Loves 1110 Texas Pkwy Ste 600 Stafford TX 77477-6497 Ph: (281) 499-2399 |
| NPI Number | 1164197943 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 08/25/2021 |
| Certification Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164197943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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