| Shadow Creek Family Physicians Pa | |
|
10970 Shadow Creek Pkwy Suite 360 Pearland TX 77584-0123 | |
| (713) 436-3697 | |
| Not Available |
| Full Name | Shadow Creek Family Physicians Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10970 Shadow Creek Pkwy, Pearland, Texas |
| Authorized Official Name and Position | Krishali Hoffman (OWNER) |
| Authorized Official Contact | 7134363697 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadow Creek Family Physicians Pa 10970 Shadow Creek Pkwy Suite 360 Pearland TX 77584-0100 Ph: (713) 436-3697 | Shadow Creek Family Physicians Pa 10970 Shadow Creek Pkwy Suite 360 Pearland TX 77584-0123 Ph: (713) 436-3697 |
| NPI Number | 1922384478 |
|---|---|
| Provider Enumeration Date | 10/28/2011 |
| Last Update Date | 12/22/2011 |
| Medicare PECOS PAC ID | 4880861772 |
|---|---|
| Medicare Enrollment ID | O20120117000726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922384478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Krishali D Gunaratne Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427074335 PECOS PAC ID: 8022033174 Enrollment ID: I20051007000852 |
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