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NPI Code Detail

MEDICARE: MIRACLE MEDICAL CLINIC

MEDICARE: MIRACLE MEDICAL CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology PhysicianJ2727TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DC2363OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100388TOTHERTXBLUECROSS BLUESHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679696892
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIRACLE MEDICAL CLINIC
Provider Business Mailing Address
First Line : 1170 BLALOCK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-7421
Country : US
Telephone Number : 713-464-0236
Fax Number : 713-463-8282
Provider Business Practice Location Address
First Line : 1170 BLALOCK RD
Second Line :
City : HOUSTON
State : TX
Zip : 77055-7421
Country : US
Telephone Number : 713-464-0236
Fax Number : 713-463-8282
Authorized Official
Title or Position : OWNER
Name : PINAKIN R PATEL
Credential : M.D.
Telephone Number : 713-464-0236
Provider Enumeration Date : 04/10/2007
Last Update Date : 09/16/2022

Similar Medicare Providers

1265531842 — DR. PINAKIN R PATEL MD
Practice Location Address:
1170 BLALOCK RD
HOUSTON, TX
77055-7421
Practice Phone: 713-464-0236
Practice Fax: 713-463-8282
1770780785 — STUART BROOKS HOLIFIELD III D.C.
Practice Location Address:
1160 BLALOCK RD
HOUSTON, TX
77055-7421
Practice Phone: 713-468-1272
Practice Fax: 179-980-3905
1366615031 — HERRINGTON CHIROPRACTIC CLINIC
Practice Location Address:
1160 BLALOCK RD
HOUSTON, TX
77055-7421
Practice Phone: 713-468-1272
Practice Fax: 713-980-3905
1104051234 — WEST BELT MEDICAL, P.L.L.C.
Practice Location Address:
1160 BLALOCK RD
HOUSTON, TX
77055-7421
Practice Phone: 713-468-1272
Practice Fax: 713-980-3905
1992004634 — MCKEEVER CLINIC PLLC
Practice Location Address:
1160 BLALOCK RD
HOUSTON, TX
77055-7421
Practice Phone: 713-461-5575
Practice Fax: 281-833-3323
1801156369 — BLALOCK DIALYSIS CENTER INC
Practice Location Address:
1170 BLALOCK RD , SUITE 200
HOUSTON, TX
77055-7421
Practice Phone: 713-464-0236
Practice Fax:

Directions to “MIRACLE MEDICAL CLINIC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.