| Rio Grande Psychiatric Associates Pa | |
|
7601 Fannin St Houston TX 77054 | |
| (713) 796-2273 | |
| (713) 795-5375 |
| Full Name | Rio Grande Psychiatric Associates Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7601 Fannin St, Houston, Texas |
| Authorized Official Name and Position | Nora Choubkha (OWNER MD) |
| Authorized Official Contact | 9154229383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rio Grande Psychiatric Associates Pa 4849 N Mesa St Ste 201 El Paso TX 79912-5916 Ph: (915) 351-6600 | Rio Grande Psychiatric Associates Pa 7601 Fannin St Houston TX 77054 Ph: (713) 796-2273 |
| NPI Number | 1780929489 |
|---|---|
| Provider Enumeration Date | 12/06/2012 |
| Last Update Date | 08/09/2018 |
| Medicare PECOS PAC ID | 1759526452 |
|---|---|
| Medicare Enrollment ID | O20130401000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780929489 | NPI | - | NPPES |
| 330138401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | P4301 (Texas) | Primary |
| Provider Name | Nora Choubkha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649470931 PECOS PAC ID: 0446430433 Enrollment ID: I20110208000821 |
| Provider Name | Bachir Debba |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336339340 PECOS PAC ID: 4183701022 Enrollment ID: I20130227000081 |
| Provider Name | Susan A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750776555 PECOS PAC ID: 1557679842 Enrollment ID: I20151007000132 |
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