| Vantage Psych, Pllc | |
|
10101 Southwest Fwy Ste 128 Houston TX 77074-1126 | |
| (832) 618-8902 | |
| Not Available |
| Full Name | Vantage Psych, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 10101 Southwest Fwy Ste 128, Houston, Texas |
| Authorized Official Name and Position | Eirene Wong-liang (PRESIDENT) |
| Authorized Official Contact | 8326188902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vantage Psych, Pllc 10101 Southwest Fwy # 128 Houston TX 77074-1126 Ph: (832) 618-8902 | Vantage Psych, Pllc 10101 Southwest Fwy Ste 128 Houston TX 77074-1126 Ph: (832) 618-8902 |
| NPI Number | 1669169587 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Medicare PECOS PAC ID | 2365808375 |
|---|---|
| Medicare Enrollment ID | O20230517002674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669169587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Eirene M. Wong-liang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134251457 PECOS PAC ID: 1456425974 Enrollment ID: I20230518000561 |
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