| For The Girls Clinic Pllc | |
|
3129 Kingsley Dr Ste 1320 Pearland TX 77584-8510 | |
| (832) 786-9786 | |
| Not Available |
| Full Name | For The Girls Clinic Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 3129 Kingsley Dr Ste 1320, Pearland, Texas |
| Authorized Official Name and Position | Tonita Bates Liverman (FOUNDER/ MANAGING MEMBER) |
| Authorized Official Contact | 2817365079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| For The Girls Clinic Pllc 2511 Creekway Cir Missouri City TX 77459-2127 Ph: (281) 736-5079 | For The Girls Clinic Pllc 3129 Kingsley Dr Ste 1320 Pearland TX 77584-8510 Ph: (832) 786-9786 |
| NPI Number | 1073346862 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 1951833995 |
|---|---|
| Medicare Enrollment ID | O20241016001279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073346862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Tonita Bates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750764551 PECOS PAC ID: 5395059166 Enrollment ID: I20241016001361 |
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