| Reliant Park Psychiatry | |
|
7601 Fannin St Houston TX 77054-1905 | |
| (713) 795-8874 | |
| (713) 795-5529 |
| Full Name | Reliant Park Psychiatry |
|---|---|
| Speciality | Psychologist |
| Location | 7601 Fannin St, Houston, Texas |
| Authorized Official Name and Position | Izzeldeen Babiker Elhage (M.D) |
| Authorized Official Contact | 2673077251 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliant Park Psychiatry 7601 Fannin St Houston TX 77054-1905 Ph: (713) 795-8874 | Reliant Park Psychiatry 7601 Fannin St Houston TX 77054-1905 Ph: (713) 795-8874 |
| NPI Number | 1184037525 |
|---|---|
| Provider Enumeration Date | 06/03/2014 |
| Last Update Date | 06/04/2014 |
| Medicare PECOS PAC ID | 5799007506 |
|---|---|
| Medicare Enrollment ID | O20141205001903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184037525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | N8002 (Texas) | Primary |
| Provider Name | Izzeldeen B Elhage |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710025515 PECOS PAC ID: 2860547130 Enrollment ID: I20101115000825 |
| Provider Name | Kou S Wei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760941207 PECOS PAC ID: 8628446614 Enrollment ID: I20221123000190 |
| Provider Name | Ngozi H Okocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700552445 PECOS PAC ID: 7517143241 Enrollment ID: I20221123000310 |
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