| Cric Enterprise LLC | |
|
6040 Barrington Ave Beaumont TX 77706-7379 | |
| (409) 356-6892 | |
| (409) 356-6892 |
| Full Name | Cric Enterprise LLC |
|---|---|
| Speciality | General Practice |
| Location | 6040 Barrington Ave, Beaumont, Texas |
| Authorized Official Name and Position | Absar Qureshi (PARTNER) |
| Authorized Official Contact | 4093566892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cric Enterprise LLC 6040 Barrington Ave Beaumont TX 77706-7379 Ph: (409) 356-6892 | Cric Enterprise LLC 6040 Barrington Ave Beaumont TX 77706-7379 Ph: (409) 356-6892 |
| NPI Number | 1225500556 |
|---|---|
| Provider Enumeration Date | 12/27/2018 |
| Last Update Date | 02/17/2019 |
| Medicare PECOS PAC ID | 9436498037 |
|---|---|
| Medicare Enrollment ID | O20190226001560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225500556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Syed I Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053314401 PECOS PAC ID: 5597661504 Enrollment ID: I20031210000651 |
| Provider Name | Michael P Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801955349 PECOS PAC ID: 5597774059 Enrollment ID: I20060411000332 |
| Provider Name | Muhammad Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437152873 PECOS PAC ID: 1456335876 Enrollment ID: I20100114000776 |
| Provider Name | Ronald Palang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518969500 PECOS PAC ID: 2466596903 Enrollment ID: I20100701000301 |
| Provider Name | Absar Qureshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134270309 PECOS PAC ID: 9537268982 Enrollment ID: I20101104001582 |
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