| Texas Innovative Medics Pllc | |
|
203 Brand Ln Ste 35 Stafford TX 77477-5317 | |
| (281) 598-6614 | |
| (281) 598-6615 |
| Full Name | Texas Innovative Medics Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 203 Brand Ln Ste 35, Stafford, Texas |
| Authorized Official Name and Position | Martin Kay (ADMINISTRATOR) |
| Authorized Official Contact | 8664393165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Innovative Medics Pllc 203 Brand Ln Ste 35 Stafford TX 77477-5317 Ph: (281) 598-6614 | Texas Innovative Medics Pllc 203 Brand Ln Ste 35 Stafford TX 77477-5317 Ph: (281) 598-6614 |
| NPI Number | 1851133904 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 11/07/2024 |
| Medicare PECOS PAC ID | 5698212777 |
|---|---|
| Medicare Enrollment ID | O20240807001472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851133904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Humera M Naqvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215247358 PECOS PAC ID: 0941473763 Enrollment ID: I20150202000437 |
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