| Beechnut Neurology Pa | |
|
7500 Beechnut St Suite 266 Houston TX 77074-4335 | |
| (713) 774-0800 | |
| (713) 774-0811 |
| Full Name | Beechnut Neurology Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7500 Beechnut St, Houston, Texas |
| Authorized Official Name and Position | Suprabha Bhat (OWNER) |
| Authorized Official Contact | 7137740800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beechnut Neurology Pa Po Box 1386 Sugar Land TX 77487-1386 Ph: (713) 774-0800 | Beechnut Neurology Pa 7500 Beechnut St Suite 266 Houston TX 77074-4335 Ph: (713) 774-0800 |
| NPI Number | 1750380226 |
|---|---|
| Provider Enumeration Date | 07/18/2005 |
| Last Update Date | 11/26/2007 |
| Medicare PECOS PAC ID | 4082659545 |
|---|---|
| Medicare Enrollment ID | O20050624000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750380226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | K8714 (Texas) | Primary |
| Provider Name | Suprabha Bhat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972501047 PECOS PAC ID: 4880639343 Enrollment ID: I20050624000353 |
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