| Efigbokwe Pllc | |
|
11041 Shadow Creek Pkwy Ste 121-212 Pearland TX 77584-7402 | |
| (832) 848-0131 | |
| Not Available |
| Full Name | Efigbokwe Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 11041 Shadow Creek Pkwy Ste 121-212, Pearland, Texas |
| Authorized Official Name and Position | Eberenne Igbokwe (OWNER) |
| Authorized Official Contact | 8328480131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Efigbokwe Pllc 11041 Shadow Creek Pkwy Ste 121-212 Pearland TX 77584-7402 Ph: (832) 848-0131 | Efigbokwe Pllc 11041 Shadow Creek Pkwy Ste 121-212 Pearland TX 77584-7402 Ph: (832) 848-0131 |
| NPI Number | 1811601230 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 01/11/2023 |
| Medicare PECOS PAC ID | 9436514791 |
|---|---|
| Medicare Enrollment ID | O20230420002939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811601230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Eberenne Igbokwe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003102732 PECOS PAC ID: 3779711395 Enrollment ID: I20140106000400 |
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