| Generation Medical Clinic, Llc | |
|
11322 Bellaire Blvd # 17 Houston TX 77072-5700 | |
| (281) 935-2947 | |
| (281) 605-5797 |
| Full Name | Generation Medical Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11322 Bellaire Blvd # 17, Houston, Texas |
| Authorized Official Name and Position | Steven Xuan Nguyen (MANAGER) |
| Authorized Official Contact | 7142349216 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Generation Medical Clinic, Llc 11322 Bellaire Blvd # 17 Houston TX 77072-5700 Ph: (281) 935-2947 | Generation Medical Clinic, Llc 11322 Bellaire Blvd # 17 Houston TX 77072-5700 Ph: (281) 935-2947 |
| NPI Number | 1184052797 |
|---|---|
| Provider Enumeration Date | 10/16/2013 |
| Last Update Date | 11/05/2013 |
| Medicare PECOS PAC ID | 7719114263 |
|---|---|
| Medicare Enrollment ID | O20131209001199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184052797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | P7822 (Texas) | Primary |
| Provider Name | Steven X Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255594180 PECOS PAC ID: 5799953493 Enrollment ID: I20131118000070 |
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