45D2271041 CLIA NUMBER - PRIMARY AND PALLIATIVE CARE OF EAST TEXAS, PLLC

Laboratory Demographics

CLIA Number: 45D2271041

Facility Name: PRIMARY AND PALLIATIVE CARE OF EAST TEXAS, PLLC

Facility Address:
8901 EF LOWRY EXPWY STE A
TEXAS CITY, TX
ZIP 77591
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Facility Phone Number: 281 559-1122

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1972067718

Taxonomy: 207RG0300X - Internal Medicine
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

CLIA Record

Field Name	Field Value
CLIA Number	45D2271041
LAB Type	Physician Office
Facility Name	PRIMARY AND PALLIATIVE CARE OF EAST TEXAS, PLLC
Street	8901 EF LOWRY EXPWY STE A
City	TEXAS CITY
State	TX
ZIP	77591
Phone	281 559-1122
CertificateType	4
CertificateEffectiveDate	10/26/2022
CertificateExpirationDate	10/25/2024
FacilityType	Waiver

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