| Michael D Lesem, Md, Pa | |
|
4306 Yoakum Blvd Ste 230 Houston TX 77006-5878 | |
| (832) 538-1479 | |
| (832) 487-9566 |
| Full Name | Michael D Lesem, Md, Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4306 Yoakum Blvd Ste 230, Houston, Texas |
| Authorized Official Name and Position | Michael David Lesem (OWNER) |
| Authorized Official Contact | 8325381479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Lesem, Md, Pa 4306 Yoakum Blvd Ste 230 Houston TX 77006-5878 Ph: (832) 538-1479 | Michael D Lesem, Md, Pa 4306 Yoakum Blvd Ste 230 Houston TX 77006-5878 Ph: (832) 538-1479 |
| NPI Number | 1417184474 |
|---|---|
| Provider Enumeration Date | 06/17/2009 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Medicare PECOS PAC ID | 5496809329 |
|---|---|
| Medicare Enrollment ID | O20090812000257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417184474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Michael Lesem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871605998 PECOS PAC ID: 6608920624 Enrollment ID: I20090810000676 |
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