| Visible Grace Healthcare Llc | |
|
9805 Harwin Dr Ste D Houston TX 77036-1615 | |
| (832) 887-6575 | |
| Not Available |
| Full Name | Visible Grace Healthcare Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9805 Harwin Dr Ste D, Houston, Texas |
| Authorized Official Name and Position | Adebanji Iseyemi (DIRECTOR) |
| Authorized Official Contact | 8328876575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visible Grace Healthcare Llc 9805 Harwin Dr Ste D Houston TX 77036-1615 Ph: () - | Visible Grace Healthcare Llc 9805 Harwin Dr Ste D Houston TX 77036-1615 Ph: (832) 887-6575 |
| NPI Number | 1922581958 |
|---|---|
| Provider Enumeration Date | 09/14/2018 |
| Last Update Date | 09/14/2018 |
| Medicare PECOS PAC ID | 3375900095 |
|---|---|
| Medicare Enrollment ID | O20230612000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922581958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Don Lashoni Cowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770742371 PECOS PAC ID: 8426429671 Enrollment ID: I20230125002985 |
| Provider Name | Debbie Ezinwanyi Weze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184349482 PECOS PAC ID: 4981077138 Enrollment ID: I20230308003188 |
| Provider Name | Neil Bhupendra Jariwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710206545 PECOS PAC ID: 0941425607 Enrollment ID: I20230612000280 |
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