| Dapa Family Recovery Programs | |
|
5500 Guhn Rd Suite 100 Houston TX 77040-6162 | |
| (713) 783-8889 | |
| (713) 783-0499 |
| Full Name | Dapa Family Recovery Programs |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5500 Guhn Rd, Houston, Texas |
| Authorized Official Name and Position | Jana K Bethea (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7137838889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dapa Family Recovery Programs 5500 Guhn Rd Suite 100 Houston TX 77040-6162 Ph: (713) 783-8889 | Dapa Family Recovery Programs 5500 Guhn Rd Suite 100 Houston TX 77040-6162 Ph: (713) 783-8889 |
| NPI Number | 1568419737 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Medicare PECOS PAC ID | 1052399607 |
|---|---|
| Medicare Enrollment ID | O20040709001029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568419737 | NPI | - | NPPES |
| 13NJ | Other | TX | BLUE CROSS & BLUE SHIELD |
| 161754001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jason D Baron |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104865260 PECOS PAC ID: 0941295257 Enrollment ID: I20100804000627 |
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