| Charles T Bisbee Phd Llc | |
|
19002 Mckay Blvd Humble TX 77338-5701 | |
| (281) 319-9577 | |
| (281) 446-8022 |
| Full Name | Charles T Bisbee Phd Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 19002 Mckay Blvd, Humble, Texas |
| Authorized Official Name and Position | Charles T Bisbee (PROVIDER) |
| Authorized Official Contact | 2812529993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles T Bisbee Phd Llc 4022 Quiet Glade Ct Kingwood TX 77345-1248 Ph: (281) 252-9993 | Charles T Bisbee Phd Llc 19002 Mckay Blvd Humble TX 77338-5701 Ph: (281) 319-9577 |
| NPI Number | 1629390398 |
|---|---|
| Provider Enumeration Date | 02/23/2010 |
| Last Update Date | 11/24/2010 |
| Medicare PECOS PAC ID | 5698899508 |
|---|---|
| Medicare Enrollment ID | O20100830000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629390398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Charles T Bisbee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386603512 PECOS PAC ID: 4284758947 Enrollment ID: I20110601000100 |
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