Tigist Mehari Md Pllc | |
150 Pine Forest Dr Ste 501 The Woodlands TX 77384-5304 | |
(510) 684-0069 | |
(817) 977-9583 |
Full Name | Tigist Mehari Md Pllc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 150 Pine Forest Dr Ste 501, The Woodlands, Texas |
Authorized Official Name and Position | Tigist Mehari (MD/OWNER) |
Authorized Official Contact | 5106840069 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tigist Mehari Md Pllc 26400 Kuykendahl Rd Ste C180-135 The Woodlands TX 77375-2882 Ph: (510) 684-0069 | Tigist Mehari Md Pllc 150 Pine Forest Dr Ste 501 The Woodlands TX 77384-5304 Ph: (510) 684-0069 |
NPI Number | 1578234563 |
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Provider Enumeration Date | 09/21/2021 |
Last Update Date | 09/21/2021 |
Certification Date | 09/21/2021 |
Medicare PECOS PAC ID | 4789082363 |
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Medicare Enrollment ID | O20211012002900 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578234563 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Tigist Mehari |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1235490426 PECOS PAC ID: 4688955370 Enrollment ID: I20170112000496 |
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