| Sugar Land Med Ped Clinic, P.a. | |
|
3533 Town Center Blvd S # 100 Sugar Land TX 77479-1454 | |
| (281) 491-2555 | |
| (281) 491-2554 |
| Full Name | Sugar Land Med Ped Clinic, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 3533 Town Center Blvd S, Sugar Land, Texas |
| Authorized Official Name and Position | Subodh Bhuchar (PHYSICIAN OWNER) |
| Authorized Official Contact | 2814912555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sugar Land Med Ped Clinic, P.a. 3533 Town Center Blvd S # 100 Sugar Land TX 77479-1454 Ph: (281) 491-2555 | Sugar Land Med Ped Clinic, P.a. 3533 Town Center Blvd S # 100 Sugar Land TX 77479-1454 Ph: (281) 491-2555 |
| NPI Number | 1124140900 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 11/05/2007 |
| Medicare PECOS PAC ID | 8820017015 |
|---|---|
| Medicare Enrollment ID | O20051116000972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124140900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H7389 (Texas) | Primary |
| 208000000X | Pediatrics | H7389 (Texas) | Secondary |
| Provider Name | Subodh K Bhuchar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629082417 PECOS PAC ID: 5991724189 Enrollment ID: I20051116000996 |
Gulf Coast Diagnostic Solutions Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17510 W Grand Pkwy S Ste 180, Sugar Land, TX 77479 Phone: 832-973-1625 | |
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