| Agape Family Medicine Clinic | |
|
1804 Stanton Ct Flower Mound TX 75028-4564 | |
| (972) 691-2628 | |
| Not Available |
| Full Name | Agape Family Medicine Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1804 Stanton Ct, Flower Mound, Texas |
| Authorized Official Name and Position | Susan George (DIRECTOR) |
| Authorized Official Contact | 9726912628 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Agape Family Medicine Clinic 1804 Stanton Ct Flower Mound TX 75028-4564 Ph: (972) 691-2628 | Agape Family Medicine Clinic 1804 Stanton Ct Flower Mound TX 75028-4564 Ph: (972) 691-2628 |
| NPI Number | 1942450036 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 09/24/2008 |
| Medicare PECOS PAC ID | 0244387173 |
|---|---|
| Medicare Enrollment ID | O20090413000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942450036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | M8668 (Texas) | Primary |
| Provider Name | Susan George |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285822346 PECOS PAC ID: 5092862193 Enrollment ID: I20090407000179 |
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