Medcare Clinics Pllc | |
12828 Willow Ctr Suite E Houston TX 77066-3043 | |
(281) 893-3656 | |
(281) 893-3464 |
Full Name | Medcare Clinics Pllc |
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Speciality | Psychiatry & Neurology |
Location | 12828 Willow Ctr, Houston, Texas |
Authorized Official Name and Position | Ifeoma N Arene (OWNER) |
Authorized Official Contact | 2818933656 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Medcare Clinics Pllc 12828 Willow Ctr Suite E Houston TX 77066-3043 Ph: (281) 893-3656 | Medcare Clinics Pllc 12828 Willow Ctr Suite E Houston TX 77066-3043 Ph: (281) 893-3656 |
NPI Number | 1609054709 |
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Provider Enumeration Date | 01/31/2008 |
Last Update Date | 06/15/2010 |
Medicare PECOS PAC ID | 0840324943 |
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Medicare Enrollment ID | O20100811000490 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609054709 | NPI | - | NPPES |
H82278 | Other | UPIN | |
157916104 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | L5229 (Texas) | Primary |
Provider Name | Ifeoma N Arene |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1780642488 PECOS PAC ID: 5991732331 Enrollment ID: I20050718000854 |
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