| La Porte Family Clinic | |
|
401 W Fairmont Pkwy Suite # D La Porte TX 77571-6307 | |
| (281) 470-4740 | |
| (281) 470-4733 |
| Full Name | La Porte Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 401 W Fairmont Pkwy, La Porte, Texas |
| Authorized Official Name and Position | Abdul R Moosa (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2814704740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Porte Family Clinic 401 W Fairmont Pkwy Suite # D La Porte TX 77571-6307 Ph: (281) 470-4740 | La Porte Family Clinic 401 W Fairmont Pkwy Suite # D La Porte TX 77571-6307 Ph: (281) 470-4740 |
| NPI Number | 1972790228 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 07/24/2008 |
| Medicare PECOS PAC ID | 6204904378 |
|---|---|
| Medicare Enrollment ID | O20081003000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972790228 | NPI | - | NPPES |
| 126988802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J3015 (Texas) | Primary |
| Provider Name | Abdul R Moosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871555052 PECOS PAC ID: 5193893261 Enrollment ID: I20090602000636 |
Harris County Public Health & Environmental Services Laporte Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1009 S Broadway St, La Porte, TX 77571 Phone: 281-471-4202 | |
Rakesh Patel M.d. P. A. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10611 W Fairmont Pkwy, La Porte, TX 77571 Phone: 281-470-4700 Fax: 281-470-8787 | |
Occupational Medicine Of La Porte P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 E Fairmont Pkwy, Suite A, La Porte, TX 77571 Phone: 281-842-1200 | |
Man Alive Hormone And Wellness Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9625 Spencer Hwy # A, La Porte, TX 77571 Phone: 832-588-6437 | |
Laporte Internal Medicine P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 404 W Fairmont Pkwy, La Porte, TX 77571 Phone: 281-470-6060 Fax: 281-470-7284 |