| Modern Family Medicine | |
|
15035 East Fwy Channelview TX 77530-4151 | |
| (832) 572-0448 | |
| Not Available |
| Full Name | Modern Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 15035 East Fwy, Channelview, Texas |
| Authorized Official Name and Position | Rebecca White (OWNER) |
| Authorized Official Contact | 8325720448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Family Medicine 15035 East Fwy Channelview TX 77530-4151 | Modern Family Medicine 15035 East Fwy Channelview TX 77530-4151 Ph: (832) 572-0448 |
| NPI Number | 1477389088 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477389088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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