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NPI Code Detail

MEDICARE: PREMIER CARE PHYSICIAN SERVICES

MEDICARE: PREMIER CARE PHYSICIAN SERVICES
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 Physician

General Provider Information

NPI Number : 1457756827
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER CARE PHYSICIAN SERVICES
Provider Business Mailing Address
First Line : 9716 LINKMEADOW LN
Second Line :
City : HOUSTON
State : TX
Zip : 77025-5011
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9716 LINKMEADOW LN
Second Line :
City : HOUSTON
State : TX
Zip : 77025-5011
Country : US
Telephone Number : 832-754-3624
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : SINDHU THOMAS
Credential : MD
Telephone Number : 832-754-3624
Provider Enumeration Date : 10/28/2014
Last Update Date : 10/28/2014

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Directions to “PREMIER CARE PHYSICIAN SERVICES ” Practice Location

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