| Ecton Oaks Health Services, Inc | |
|
15407 Prairie Oaks Dr Houston TX 77083-5532 | |
| (713) 446-9677 | |
| Not Available |
| Full Name | Ecton Oaks Health Services, Inc |
|---|---|
| Speciality | Case Management |
| Location | 15407 Prairie Oaks Dr, Houston, Texas |
| Authorized Official Name and Position | Gloria Crandall (ADMINISTRATOR) |
| Authorized Official Contact | 8326393167 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ecton Oaks Health Services, Inc 15407 Prairie Oaks Dr Houston TX 77083-5532 Ph: (713) 446-9677 | Ecton Oaks Health Services, Inc 15407 Prairie Oaks Dr Houston TX 77083-5532 Ph: (713) 446-9677 |
| NPI Number | 1083339790 |
|---|---|
| Provider Enumeration Date | 10/05/2022 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083339790 | NPI | - | NPPES |
| 215B00000X | Medicaid | TX | |
| 261QM0855X | Medicaid | TX | |
| 101YP2500X | Medicaid | TX | |
| 261QM0801X | Medicaid | TX | |
| 261QM0850X | Medicaid | TX |
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