OrganizationPre Med Care Clinic, Llc(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address5420 Bellaire Blvd Ste A, Bellaire, TX 77401-3957(713) 663-6322PECOS EnrollmentBased on the most recent information from CMS, provider Pre Med Care Clinic, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1861404691Provider TypeOrganizationFull NamePre Med Care Clinic, LlcOther Name<Unavail>SubpartNoEnumeration Date8/12/2006Last Updated9/23/2015Contact InformationPractice LocationPractice Address5420 Bellaire Blvd Ste A, Bellaire, TX 77401-3957Phone(713) 663-6322Fax(713) 663-6944Mailing LocationMailing Address5420 Bellaire Blvd Ste A, Bellaire, TX 77401-3957Phone(713) 663-6322Fax(713) 663-6944Authorized OfficialNameBriggs, Rodis (Billing Mgr)Phone(936) 258-9361Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted IssuerTexasProvider IdentifiersIDDescriptionIssuerID0079EMDescriptionOtherIssuerBCBSTexasID169667603DescriptionMedicaidIssuerUnlistedTexas