Memorial Park Psychiatry | |
550 Westcott St Ste. 520 Houston TX 77007-9015 | |
(713) 864-6694 | |
(713) 864-6698 |
Full Name | Memorial Park Psychiatry |
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Speciality | Psychiatry & Neurology |
Location | 550 Westcott St, Houston, Texas |
Authorized Official Name and Position | Matthew Brams (OWNER) |
Authorized Official Contact | 7138646694 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Memorial Park Psychiatry 550 Westcott St Ste. 520 Houston TX 77007-9015 Ph: (713) 864-6694 | Memorial Park Psychiatry 550 Westcott St Ste. 520 Houston TX 77007-9015 Ph: (713) 864-6694 |
NPI Number | 1477857720 |
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Provider Enumeration Date | 12/30/2010 |
Last Update Date | 01/28/2011 |
Medicare PECOS PAC ID | 7911175773 |
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Medicare Enrollment ID | O20110721000336 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477857720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | H4183 (Texas) | Primary |
Provider Name | Alice R Mao |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1851309488 PECOS PAC ID: 4385627629 Enrollment ID: I20040609000403 |
Provider Name | Ian L Smalling |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114971033 PECOS PAC ID: 0446226112 Enrollment ID: I20040903000202 |
Provider Name | Matthew N Brams |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1639187263 PECOS PAC ID: 8820008303 Enrollment ID: I20060427000575 |
Provider Name | Romeo J Penaflor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013324581 PECOS PAC ID: 3173849437 Enrollment ID: I20150303001893 |
Provider Name | Melanie M Stolte |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255996997 PECOS PAC ID: 0042547283 Enrollment ID: I20190809001507 |
Provider Name | Funmilayo T Akinrimisi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184281560 PECOS PAC ID: 5395170765 Enrollment ID: I20200113000558 |
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