| Northeast Family Medicine | |
|
2714 W Lake Houston Pkwy #100 Kingwood TX 77339-5229 | |
| (281) 360-8898 | |
| (281) 360-9968 |
| Full Name | Northeast Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 2714 W Lake Houston Pkwy, Kingwood, Texas |
| Authorized Official Name and Position | Lois Chu (PHYSICIAN) |
| Authorized Official Contact | 2813608898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Family Medicine Po Box 5356 Kingwood TX 77325-5356 Ph: () - | Northeast Family Medicine 2714 W Lake Houston Pkwy #100 Kingwood TX 77339-5229 Ph: (281) 360-8898 |
| NPI Number | 1366600264 |
|---|---|
| Provider Enumeration Date | 05/28/2008 |
| Last Update Date | 07/07/2008 |
| Medicare PECOS PAC ID | 9638102031 |
|---|---|
| Medicare Enrollment ID | O20050915001004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366600264 | NPI | - | NPPES |
| 00237U | Other | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lois Y Chu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861594392 PECOS PAC ID: 1355374752 Enrollment ID: I20120511000474 |
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