| Saji Mary Pa Llc | |
|
2743 Smith Ranch Rd Ste 1001 Pearland TX 77584-5217 | |
| (832) 400-2291 | |
| Not Available |
| Full Name | Saji Mary Pa Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2743 Smith Ranch Rd Ste 1001, Pearland, Texas |
| Authorized Official Name and Position | Saji Joseph (CEO) |
| Authorized Official Contact | 8324002291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Saji Mary Pa Llc 2743 Smith Ranch Rd Ste 1001 Pearland TX 77584-5217 Ph: (832) 400-2291 | Saji Mary Pa Llc 2743 Smith Ranch Rd Ste 1001 Pearland TX 77584-5217 Ph: (832) 400-2291 |
| NPI Number | 1023772548 |
|---|---|
| Provider Enumeration Date | 10/30/2021 |
| Last Update Date | 10/30/2021 |
| Medicare PECOS PAC ID | 7315337581 |
|---|---|
| Medicare Enrollment ID | O20211201002535 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023772548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Saji Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215600325 PECOS PAC ID: 2769889245 Enrollment ID: I20210927000671 |
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