| Serene Bold Health Clinic | |
|
4606 Fm 1960 Rd W Ste 224 Houston TX 77069-4617 | |
| (281) 944-5692 | |
| Not Available |
| Full Name | Serene Bold Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4606 Fm 1960 Rd W Ste 224, Houston, Texas |
| Authorized Official Name and Position | Ijeoma Ononenyi (MANAGER) |
| Authorized Official Contact | 2819445692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serene Bold Health Clinic 4606 Fm 1960 Rd W Ste 224 Houston TX 77069-4617 Ph: () - | Serene Bold Health Clinic 4606 Fm 1960 Rd W Ste 224 Houston TX 77069-4617 Ph: (281) 944-5692 |
| NPI Number | 1861037160 |
|---|---|
| Provider Enumeration Date | 11/10/2019 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| Medicare PECOS PAC ID | 2163853045 |
|---|---|
| Medicare Enrollment ID | O20200508001021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861037160 | NPI | - | NPPES |
| Provider Name | Ijeoma Ononenyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467818070 PECOS PAC ID: 1355681495 Enrollment ID: I20190327001592 |
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