| Pine Forrest Functional Medicine | |
|
25312 I H 45 Spring TX 77386-1449 | |
| (346) 418-9642 | |
| (713) 513-5524 |
| Full Name | Pine Forrest Functional Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 25312 I H 45, Spring, Texas |
| Authorized Official Name and Position | Thu Anh Hoang (OWNER) |
| Authorized Official Contact | 9727435136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Forrest Functional Medicine 25312 I H 45 Spring TX 77386-1449 Ph: (346) 418-9642 | Pine Forrest Functional Medicine 25312 I H 45 Spring TX 77386-1449 Ph: (346) 418-9642 |
| NPI Number | 1154915205 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 11/01/2025 |
| Medicare PECOS PAC ID | 5395153472 |
|---|---|
| Medicare Enrollment ID | O20210412000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154915205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Thu A Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801821699 PECOS PAC ID: 0244256634 Enrollment ID: I20051014000397 |
| Provider Name | Minni Malhotra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528257508 PECOS PAC ID: 5698849206 Enrollment ID: I20111214000663 |
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