| Alexandria Clinic | |
|
1836 Snake River Rd Ste C Katy TX 77449-7753 | |
| (281) 578-9000 | |
| (281) 578-9004 |
| Full Name | Alexandria Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1836 Snake River Rd Ste C, Katy, Texas |
| Authorized Official Name and Position | Mohamed Mahdy Abdelmoula (CEO) |
| Authorized Official Contact | 8322052080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexandria Clinic 1836 Snake River Rd Ste C Katy TX 77449-7753 Ph: (281) 578-9000 | Alexandria Clinic 1836 Snake River Rd Ste C Katy TX 77449-7753 Ph: (281) 578-9000 |
| NPI Number | 1730460049 |
|---|---|
| Provider Enumeration Date | 08/31/2011 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Medicare PECOS PAC ID | 9032382981 |
|---|---|
| Medicare Enrollment ID | O20111109000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730460049 | NPI | - | NPPES |
| 318749401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | P0328 (Texas) | Primary |
| Provider Name | Mohamed Mahdy Abdelmoula |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720249105 PECOS PAC ID: 6305019258 Enrollment ID: I20111109000494 |
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