| Aic Primary Care, Pllc | |
|
2600 Fm 1764 Suite 190 Lamarque TX 77568 | |
| (281) 886-8964 | |
| (409) 440-8071 |
| Full Name | Aic Primary Care, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2600 Fm 1764, Lamarque, Texas |
| Authorized Official Name and Position | Megan Eacho Jefferson (CREDENTIALING CONTACT) |
| Authorized Official Contact | 2818868964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aic Primary Care, Pllc 2600 Fm 1764 Suite 190 Lamarque TX 77568 Ph: (281) 886-8964 | Aic Primary Care, Pllc 2600 Fm 1764 Suite 190 Lamarque TX 77568 Ph: (281) 886-8964 |
| NPI Number | 1326324567 |
|---|---|
| Provider Enumeration Date | 11/02/2011 |
| Last Update Date | 12/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326324567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M4126 (Texas) | Primary |