| Manarah Care Pllc | |
|
2704 Washington St Greenville TX 75401-4114 | |
| (903) 454-7200 | |
| (903) 454-7204 |
| Full Name | Manarah Care Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2704 Washington St, Greenville, Texas |
| Authorized Official Name and Position | Mahmoud A Mohamed (OWNER) |
| Authorized Official Contact | 9034547200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manarah Care Pllc 2704 Washington St Greenville TX 75401-4114 Ph: (903) 454-7200 | Manarah Care Pllc 2704 Washington St Greenville TX 75401-4114 Ph: (903) 454-7200 |
| NPI Number | 1013398601 |
|---|---|
| Provider Enumeration Date | 06/09/2015 |
| Last Update Date | 06/09/2015 |
| Medicare PECOS PAC ID | 7113232679 |
|---|---|
| Medicare Enrollment ID | O20150813010215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013398601 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | N5875 (Texas) | Primary |
| Provider Name | Mahmoud A Mohamed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699764688 PECOS PAC ID: 4789614728 Enrollment ID: I20120727000577 |
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