| Rukshan Azhar Mdpa | |
|
855 Rollingbrook Dr Ste 105 Baytown TX 77521-4073 | |
| (713) 885-5070 | |
| Not Available |
| Full Name | Rukshan Azhar Mdpa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 855 Rollingbrook Dr Ste 105, Baytown, Texas |
| Authorized Official Name and Position | Rukshan Azhar (OWNER) |
| Authorized Official Contact | 2814287997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rukshan Azhar Mdpa 2802 Garth Rd Ste 105 Baytown TX 77521-3924 Ph: (713) 885-5070 | Rukshan Azhar Mdpa 855 Rollingbrook Dr Ste 105 Baytown TX 77521-4073 Ph: (713) 885-5070 |
| NPI Number | 1154623072 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 08/03/2020 |
| Certification Date | 08/03/2020 |
| Medicare PECOS PAC ID | 0547458705 |
|---|---|
| Medicare Enrollment ID | O20110103000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154623072 | NPI | - | NPPES |
| 113400902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | J7894 (Texas) | Primary |
| Provider Name | Rukshan Azhar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225127392 PECOS PAC ID: 7517155773 Enrollment ID: I20110103000935 |
Depression, Anxiety And Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4721 Garth Rd, Baytown, TX 77521 Phone: 936-647-1188 Fax: 936-647-1212 | |
Terry Aultman Lpc, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6232 N Highway 146, Suite 104, Baytown, TX 77523 Phone: 281-918-0152 Fax: 281-918-0151 | |
Benison Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Rollingbrook Dr Ste 502, Baytown, TX 77521 Phone: 713-396-2525 | |
Testsmartrx Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4201 Garth Rd, Ste 290, Baytown, TX 77521 Phone: 713-705-9346 Fax: 832-514-7053 | |
Developmental Neurology Associates Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2306 N Alexander Dr, Baytown, TX 77520 Phone: 281-837-3159 Fax: 281-837-3159 | |
Licensed To Solve Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W Sterling St # 7, Baytown, TX 77520 Phone: 877-767-6583 Fax: 833-913-2442 |