| M.k. Hamza Ph.d., P.a. | |
|
2300 Highway 365 Ste 110 Nederland TX 77627-6256 | |
| (409) 729-0400 | |
| (409) 729-0453 |
| Full Name | M.k. Hamza Ph.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 2300 Highway 365, Nederland, Texas |
| Authorized Official Name and Position | M.k. Hamza (OWNER) |
| Authorized Official Contact | 4097290400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M.k. Hamza Ph.d., P.a. 2300 Highway 365 Ste 110 Nederland TX 77627-6256 Ph: (409) 729-0400 | M.k. Hamza Ph.d., P.a. 2300 Highway 365 Ste 110 Nederland TX 77627-6256 Ph: (409) 729-0400 |
| NPI Number | 1346434750 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 10/20/2008 |
| Medicare PECOS PAC ID | 3072607431 |
|---|---|
| Medicare Enrollment ID | O20070926001133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346434750 | NPI | - | NPPES |
| 185694001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 33373 (Texas) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 33373 (Texas) | Secondary |
| Provider Name | Mohammad K Hamza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487860425 PECOS PAC ID: 8729179411 Enrollment ID: I20070809000625 |
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