| Beacon Behavioral Of Texas Pa | |
|
550 Westcott St Ste 520 Houston TX 77007-9001 | |
| (713) 864-6694 | |
| Not Available |
| Full Name | Beacon Behavioral Of Texas Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 550 Westcott St Ste 520, Houston, Texas |
| Authorized Official Name and Position | Kimberly Glaveskas (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 4439623945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Behavioral Of Texas Pa 550 Westcott St Ste 520 Houston TX 77007-9001 Ph: (713) 864-6694 | Beacon Behavioral Of Texas Pa 550 Westcott St Ste 520 Houston TX 77007-9001 Ph: (713) 864-6694 |
| NPI Number | 1114762382 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114762382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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