Amana Recovery Llc | |
4220 Cartwright Rd Ste 303 Missouri City TX 77459-5309 | |
(832) 358-4820 | |
Not Available |
Full Name | Amana Recovery Llc |
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Speciality | Community/Behavioral Health |
Location | 4220 Cartwright Rd Ste 303, Missouri City, Texas |
Authorized Official Name and Position | Flavia Thomas (OWNER) |
Authorized Official Contact | 8323584820 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amana Recovery Llc 4220 Cartwright Rd Ste 303 Missouri City TX 77459-5309 Ph: () - | Amana Recovery Llc 4220 Cartwright Rd Ste 303 Missouri City TX 77459-5309 Ph: (832) 358-4820 |
NPI Number | 1942061395 |
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Provider Enumeration Date | 01/22/2024 |
Last Update Date | 01/23/2024 |
Certification Date | 01/23/2024 |
Medicare PECOS PAC ID | 4981047727 |
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Medicare Enrollment ID | O20240208000865 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942061395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Flavia Thomas |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609934868 PECOS PAC ID: 7911167242 Enrollment ID: I20120323000594 |
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