| Innerwisdom Inc. | |
|
10777 Stella Link Rd Houston TX 77025-5639 | |
| (713) 592-9292 | |
| (713) 592-9296 |
| Full Name | Innerwisdom Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10777 Stella Link Rd, Houston, Texas |
| Authorized Official Name and Position | Erin Orzeck (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7135929292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerwisdom Inc. 10777 Stella Link Rd Houston TX 77025-5639 Ph: (713) 592-9292 | Innerwisdom Inc. 10777 Stella Link Rd Houston TX 77025-5639 Ph: (713) 592-9292 |
| NPI Number | 1255379202 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 10/23/2020 |
| Certification Date | 10/23/2020 |
| Medicare PECOS PAC ID | 5496738676 |
|---|---|
| Medicare Enrollment ID | O20040609000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255379202 | NPI | - | NPPES |
| 021299501 | Medicaid | TX | |
| 021299502 | Medicaid | TX |
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