| Pattison First Family Clinic Llc | |
|
3603 Front St Suite: 102- 103 Brookshire TX 77423-9845 | |
| (281) 934-4444 | |
| Not Available |
| Full Name | Pattison First Family Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3603 Front St, Brookshire, Texas |
| Authorized Official Name and Position | Sandra Owolabi (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 2819344444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pattison First Family Clinic Llc 3603 Front St Ste 102-103 Brookshire TX 77423-9845 Ph: (281) 934-4444 | Pattison First Family Clinic Llc 3603 Front St Suite: 102- 103 Brookshire TX 77423-9845 Ph: (281) 934-4444 |
| NPI Number | 1083089080 |
|---|---|
| Provider Enumeration Date | 12/02/2015 |
| Last Update Date | 02/06/2024 |
| Medicare PECOS PAC ID | 1355644089 |
|---|---|
| Medicare Enrollment ID | O20160129000613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083089080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Sandra Owolabi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477894319 PECOS PAC ID: 0244453322 Enrollment ID: I20140516001577 |
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