Aic Primary Care, Pllc

NPI #1326324567 in Lamarque, Texas

Provider Information

NPI Number: 1326324567
Entity Type: Organization
Organization Name: Aic Primary Care, Pllc
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Nov 2, 2011
Last Updated: Dec 29, 2017

Practice Location

Address: 2600 FM 1764
Address 2: SUITE 190
City: Lamarque
State: Texas
ZIP Code: 77568
Phone: (281) 886-8964

Authorized Official

Name: MEGAN EACHO JEFFERSON
Title: CREDENTIALING CONTACT
Phone: (281) 886-8964

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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