| Assurance Therapeutic Outreach | |
|
1034 Regional Park Drive Houston TX 77060-1117 | |
| (346) 842-0424 | |
| (832) 827-2102 |
| Full Name | Assurance Therapeutic Outreach |
|---|---|
| Speciality | Case Management |
| Location | 1034 Regional Park Drive, Houston, Texas |
| Authorized Official Name and Position | Paige Elizabeth Dustmann (COMPLIANCE MANAGER) |
| Authorized Official Contact | 3468420424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Assurance Therapeutic Outreach 1034 Regional Park Drive Houston TX 77060-1117 Ph: (832) 454-2848 | Assurance Therapeutic Outreach 1034 Regional Park Drive Houston TX 77060-1117 Ph: (346) 842-0424 |
| NPI Number | 1528557154 |
|---|---|
| Provider Enumeration Date | 05/09/2018 |
| Last Update Date | 11/30/2023 |
| Medicare PECOS PAC ID | 1951658400 |
|---|---|
| Medicare Enrollment ID | O20180716001707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528557154 | NPI | - | NPPES |
| Provider Name | Stacey Rawls |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043249774 PECOS PAC ID: 6901903327 Enrollment ID: I20160111000649 |
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