| Biominds Behavioral Health Llc | |
|
4638 Brazos Shores Dr Sugar Land TX 77479-7077 | |
| (832) 258-0772 | |
| Not Available |
| Full Name | Biominds Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4638 Brazos Shores Dr, Sugar Land, Texas |
| Authorized Official Name and Position | Bayo Ivyl Owens (NP) |
| Authorized Official Contact | 8322580772 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Biominds Behavioral Health Llc 4638 Brazos Shores Dr Sugar Land TX 77479-7077 Ph: (832) 258-0772 | Biominds Behavioral Health Llc 4638 Brazos Shores Dr Sugar Land TX 77479-7077 Ph: (832) 258-0772 |
| NPI Number | 1700581337 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 02/19/2024 |
| Certification Date | 02/19/2024 |
| Medicare PECOS PAC ID | 9436505484 |
|---|---|
| Medicare Enrollment ID | O20231026002468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700581337 | NPI | - | NPPES |
| Provider Name | Bayo Ivyl Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134884356 PECOS PAC ID: 1052798774 Enrollment ID: I20220519000469 |
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