| Balance Family Medicine, Lllp | |
|
460 Park Grove Dr Katy TX 77450-1571 | |
| (413) 862-2563 | |
| (203) 493-8028 |
| Full Name | Balance Family Medicine, Lllp |
|---|---|
| Speciality | Clinic/Center |
| Location | 460 Park Grove Dr, Katy, Texas |
| Authorized Official Name and Position | Felicity L Mack (OWNER) |
| Authorized Official Contact | 4138622563 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Family Medicine, Lllp 460 Park Grove Dr Katy TX 77450-1571 Ph: (413) 862-2563 | Balance Family Medicine, Lllp 460 Park Grove Dr Katy TX 77450-1571 Ph: (413) 862-2563 |
| NPI Number | 1912345646 |
|---|---|
| Provider Enumeration Date | 06/04/2013 |
| Last Update Date | 09/06/2022 |
| Medicare PECOS PAC ID | 6608093455 |
|---|---|
| Medicare Enrollment ID | O20140819000819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912345646 | NPI | - | NPPES |
| 4166548 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | P1564 (Texas) | Secondary |
| Provider Name | Felicity Mack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356662134 PECOS PAC ID: 1355506825 Enrollment ID: I20120706000606 |
| Provider Name | Michael Hoffmann |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255624235 PECOS PAC ID: 4486950458 Enrollment ID: I20160317000853 |
| Provider Name | Alimatu Sadia Garuba-sedenu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053805028 PECOS PAC ID: 1658778972 Enrollment ID: I20210929000053 |
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