| Texas Health Clinic Pa | |
|
2 Professional Park Dr Webster TX 77598-4127 | |
| (281) 661-1031 | |
| (281) 661-1032 |
| Full Name | Texas Health Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Professional Park Dr, Webster, Texas |
| Authorized Official Name and Position | Sandhya-rani Mokkala (DIRECTOR) |
| Authorized Official Contact | 8328680495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Health Clinic Pa 15522 Conifer Bay Ct Houston TX 77059-3186 Ph: (832) 423-5328 | Texas Health Clinic Pa 2 Professional Park Dr Webster TX 77598-4127 Ph: (281) 661-1031 |
| NPI Number | 1740432020 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 04/22/2022 |
| Medicare PECOS PAC ID | 5193796688 |
|---|---|
| Medicare Enrollment ID | O20040805001688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740432020 | NPI | - | NPPES |
| 0A0261 | Other | TX | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L0432 (Texas) | Primary |
| Provider Name | Sandhya Rani Mokkala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447261839 PECOS PAC ID: 4183695679 Enrollment ID: I20040809000654 |
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