| Vikram Mehra M.d.,p.a. | |
|
21613 Provincial Blvd Katy TX 77450-6506 | |
| (713) 777-9900 | |
| (713) 777-9902 |
| Full Name | Vikram Mehra M.d.,p.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 21613 Provincial Blvd, Katy, Texas |
| Authorized Official Name and Position | Vikram Mehra (OWNER) |
| Authorized Official Contact | 7137779900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vikram Mehra M.d.,p.a. 21613 Provincial Blvd Katy TX 77450-6506 Ph: (713) 777-9900 | Vikram Mehra M.d.,p.a. 21613 Provincial Blvd Katy TX 77450-6506 Ph: (713) 777-9900 |
| NPI Number | 1821277708 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8325080096 |
|---|---|
| Medicare Enrollment ID | O20050524000570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821277708 | NPI | - | NPPES |
| 164440302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | J6591 (Texas) | Primary |
| Provider Name | Vikram Mehra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801848957 PECOS PAC ID: 0840232518 Enrollment ID: I20051214000233 |
| Provider Name | Stephen Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245352756 PECOS PAC ID: 1557661550 Enrollment ID: I20151124000072 |
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