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1013 Delesandri Ln Kemah TX 77565-3142 | |
| (713) 568-1210 | |
| (281) 724-4055 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1013 Delesandri Ln, Kemah, Texas |
| Authorized Official Name and Position | Shiraz Ahmed (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 2817248643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1013 Delesandri Ln Kemah TX 77565-3142 Ph: (713) 568-1210 | 1013 Delesandri Ln Kemah TX 77565-3142 Ph: (713) 568-1210 |
| NPI Number | 1548015068 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 10/24/2024 |
| Certification Date | 10/24/2024 |
| Medicare PECOS PAC ID | 7012453921 |
|---|---|
| Medicare Enrollment ID | O20240726001366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548015068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Haider Afzal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083621023 PECOS PAC ID: 7517961378 Enrollment ID: I20060908000425 |
| Provider Name | Mustafa Tai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689023152 PECOS PAC ID: 8123310927 Enrollment ID: I20221214003209 |
Healthtrust Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Highway 146, Kemah, TX 77565 Phone: 713-807-1500 Fax: 713-527-8558 | |
George P. Grimes, Phd, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Mariners Dr, Kemah, TX 77565 Phone: 979-417-4294 Fax: 281-538-8069 | |
George P. Grimes, Ph.d., P.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Mariners Dr, Kemah, TX 77565 Phone: 979-417-4292 Fax: 281-538-8069 |