| Fort Bend Primary Care P.a. | |
|
1235 Lake Pointe Pkwy Ste 201 Sugar Land TX 77478-4078 | |
| (281) 491-6329 | |
| (281) 491-6333 |
| Full Name | Fort Bend Primary Care P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1235 Lake Pointe Pkwy Ste 201, Sugar Land, Texas |
| Authorized Official Name and Position | Anil B Patel (PRESIDENT) |
| Authorized Official Contact | 2814916329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Bend Primary Care P.a. 1235 Lake Pointe Pkwy Ste 201 Sugar Land TX 77478-4078 Ph: (281) 491-6329 | Fort Bend Primary Care P.a. 1235 Lake Pointe Pkwy Ste 201 Sugar Land TX 77478-4078 Ph: (281) 491-6329 |
| NPI Number | 1891911046 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 11/16/2023 |
| Medicare PECOS PAC ID | 4587847520 |
|---|---|
| Medicare Enrollment ID | O20110329000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891911046 | NPI | - | NPPES |
| 1129817 | Other | TX | WELLCARE |
| 150012601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L1423 (Texas) | Primary |
| Provider Name | Anil B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457494379 PECOS PAC ID: 7911913009 Enrollment ID: I20060227000594 |
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