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MACIE MEDICAL NPI 1093452229


NPI Information

NPI: 1093452229
Provider Name: MACIE MEDICAL

Doing Business As: MACIE MEDICAL

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2269154

Address:
777 S FRY RD STE 206
KATY, TX
ZIP 77450
Phone: (713) 300-3905
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MACIE MEDICAL is a primary care clinic center in Katy, TX. MACIE MEDICAL NPI is 1093452229. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Macie Medical.

The provider's business location address is:

777 S FRY RD STE 206
KATY, TX
ZIP 77450-297
Phone: (713) 300-3905
Fax: (713) 561-3890

The provider's authorized official is Judith Aniekwena .
The authorized official title is Physician and has the following contact phone number (713) 300-3905.

The CLIA number assigned to this NPI record is 45D2269154 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2022 and was last updated on 1/10/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RB0002XInternal MedicineObesity MedicineNo
2261Q00000XClinic/CenterNo
3261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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