| Thrive Care LLC | |
|
1326 S 14th St Ste D-d1 Abilene TX 79602-3743 | |
| (940) 882-2622 | |
| Not Available |
| Full Name | Thrive Care LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1326 S 14th St Ste D-d1, Abilene, Texas |
| Authorized Official Name and Position | Ade Manga (BUSINESS MANAGER) |
| Authorized Official Contact | 9408822622 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Care LLC 1326 S 14th St Ste D-d1 Abilene TX 79602-3743 | Thrive Care LLC 1326 S 14th St Ste D-d1 Abilene TX 79602-3743 Ph: (940) 882-2622 |
| NPI Number | 1508603382 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Certification Date | 07/10/2024 |
| Medicare PECOS PAC ID | 4486194313 |
|---|---|
| Medicare Enrollment ID | O20240906000960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508603382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Clarise N Agbor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396201620 PECOS PAC ID: 3779817853 Enrollment ID: I20190624001465 |
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