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45D1049013 CLIA NUMBER - IKE ENI MD PA

Laboratory Demographics

CLIA Number: 45D1049013

Facility Name: IKE ENI MD PA

Facility Address:
9319 PINECROFT DRIVE, SUITE 120
THE WOODLANDS, TX
ZIP 77380
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Facility Phone Number: 936 321-1946

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1043415656

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 45D1049013
LAB Type Physician Office
Facility Name IKE ENI MD PA
Street 9319 PINECROFT DRIVE, SUITE 120
City THE WOODLANDS
State TX
ZIP 77380
Phone 936 321-1946
CertificateType 4
CertificateEffectiveDate 12/19/2023
CertificateExpirationDate 12/18/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024