Unknown Individual – Internal Medicine Physician, NPI 1538165436
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
450, This Way, Lake Jackson, Brazoria County, Texas, 77566, United States
STE C
LAKE JACKSON, TX 775665142
Phone: (979) 299-6844
Fax: (979) 297-3919
Type: Location
Lake, Independence, Jackson County, Missouri, 64136, United States
LAKE JACKSON, TX 77566
Phone: (979) 299-6844
Fax: (979) 297-3919
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77566)
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