| |
3129 Kingsley Dr Ste 1730 Pearland TX 77584-8511 | |
(832) 947-3562 | |
Not Available |
Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3129 Kingsley Dr Ste 1730, Pearland, Texas |
Authorized Official Name and Position | Selma Raheem (PRESIDENT) |
Authorized Official Contact | 8329473562 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3129 Kingsley Dr Ste 1730 Pearland TX 77584-8511 Ph: (832) 947-3562 | 3129 Kingsley Dr Ste 1730 Pearland TX 77584-8511 Ph: (832) 947-3562 |
NPI Number | 1255609319 |
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Provider Enumeration Date | 12/05/2011 |
Last Update Date | 08/01/2022 |
Certification Date | 08/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255609319 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | N1088 (Texas) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | N1088 (Texas) | Secondary |
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