| Uncharted Territory Mental Health Pllc | |
|
507 N Sam Houston Pkwy E Ste 165 Houston TX 77060-4081 | |
| (832) 546-0643 | |
| Not Available |
| Full Name | Uncharted Territory Mental Health Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 507 N Sam Houston Pkwy E Ste 165, Houston, Texas |
| Authorized Official Name and Position | William Jemal Hill (CEO) |
| Authorized Official Contact | 8325460643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uncharted Territory Mental Health Pllc 23126 Bayleaf Dr Spring TX 77373-6486 Ph: (318) 268-5619 | Uncharted Territory Mental Health Pllc 507 N Sam Houston Pkwy E Ste 165 Houston TX 77060-4081 Ph: (832) 546-0643 |
| NPI Number | 1841892551 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Medicare PECOS PAC ID | 3274946934 |
|---|---|
| Medicare Enrollment ID | O20210317002643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841892551 | NPI | - | NPPES |
| Provider Name | William Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902407463 PECOS PAC ID: 7416361118 Enrollment ID: I20210317002708 |
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