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605 Holderrieth Blvd Tomball TX 77375-6445 | |
| (281) 401-7500 | |
| (281) 351-4904 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 605 Holderrieth Blvd, Tomball, Texas |
| Authorized Official Name and Position | Will Morrow (CFO) |
| Authorized Official Contact | 6153441731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
605 Holderrieth Blvd Tomball TX 77375-6445 Ph: () - | 605 Holderrieth Blvd Tomball TX 77375-6445 Ph: (281) 401-7500 |
| NPI Number | 1528596889 |
|---|---|
| Provider Enumeration Date | 05/31/2017 |
| Last Update Date | 01/30/2019 |
| Medicare PECOS PAC ID | 3375813843 |
|---|---|
| Medicare Enrollment ID | O20170724003685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528596889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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