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14090 Southwest Fwy Ste 300 Sugar Land TX 77478-3679 | |
| (346) 348-0308 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 14090 Southwest Fwy Ste 300, Sugar Land, Texas |
| Authorized Official Name and Position | Chinyere Ihejirika (PMHNP) |
| Authorized Official Contact | 2163230028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
675 Alpha Dr Ste G Highland Hts OH 44143-2139 Ph: (216) 323-0028 | 14090 Southwest Fwy Ste 300 Sugar Land TX 77478-3679 Ph: (346) 348-0308 |
| NPI Number | 1396425740 |
|---|---|
| Provider Enumeration Date | 07/20/2023 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Medicare PECOS PAC ID | 9537602511 |
|---|---|
| Medicare Enrollment ID | O20240618003783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396425740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Chinyere Roseline Ihejirika |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053021089 PECOS PAC ID: 1355884339 Enrollment ID: I20240618003924 |
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