| Holistic Care Family Medicine | |
|
26077 Nelson Way Suite 301 Katy TX 77494-5642 | |
| (832) 882-5632 | |
| (832) 553-2686 |
| Full Name | Holistic Care Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 26077 Nelson Way, Katy, Texas |
| Authorized Official Name and Position | Sandra Milena Amado Medina (OWNER) |
| Authorized Official Contact | 8322282005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Care Family Medicine 27910 Starlight Harbor Ln Fulshear TX 77441-1702 Ph: (832) 228-2005 | Holistic Care Family Medicine 26077 Nelson Way Suite 301 Katy TX 77494-5642 Ph: (832) 882-5632 |
| NPI Number | 1528642170 |
|---|---|
| Provider Enumeration Date | 05/10/2021 |
| Last Update Date | 12/15/2021 |
| Medicare PECOS PAC ID | 9436551066 |
|---|---|
| Medicare Enrollment ID | O20210706001142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528642170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sandra M Amado Medina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114362985 PECOS PAC ID: 3577871755 Enrollment ID: I20160308001617 |
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