Dr Jehan Mansour Baba, DC | |
5915 Bogie Way, Pasadena, TX 77505-3040 | |
(281) 515-1026 | |
Not Available |
Full Name | Dr Jehan Mansour Baba |
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Gender | Female |
Speciality | Chiropractor |
Location | 5915 Bogie Way, Pasadena, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164099347 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 14662 (Texas) | Primary |
Provider Name | Lifeclinic Chiropractic Of Texas Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417347899 PECOS PAC ID: 6002121027 Enrollment ID: O20150819007977 |
Mailing Address | Practice Location Address |
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Dr Jehan Mansour Baba, DC 5915 Bogie Way, Pasadena, TX 77505-3040 Ph: (281) 515-1026 | Dr Jehan Mansour Baba, DC 5915 Bogie Way, Pasadena, TX 77505-3040 Ph: (281) 515-1026 |
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