| Holistic Kidney Counseling, Pllc | |
|
2500 Wilcrest Dr Houston TX 77042-2752 | |
| (281) 673-7950 | |
| Not Available |
| Full Name | Holistic Kidney Counseling, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2500 Wilcrest Dr, Houston, Texas |
| Authorized Official Name and Position | San Chieu Ta (LICENSE CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2816737950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Holistic Kidney Counseling, Pllc 9107 Gianna Ct Houston TX 77083-8015 Ph: (281) 673-7950 | Holistic Kidney Counseling, Pllc 2500 Wilcrest Dr Houston TX 77042-2752 Ph: (281) 673-7950 |
| NPI Number | 1184100026 |
|---|---|
| Provider Enumeration Date | 07/13/2018 |
| Last Update Date | 07/13/2018 |
| Medicare PECOS PAC ID | 5395099766 |
|---|---|
| Medicare Enrollment ID | O20181121001977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184100026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 39918 (Texas) | Primary |
| Provider Name | San Chieu Ta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619465275 PECOS PAC ID: 5597013417 Enrollment ID: I20180808002301 |
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