| Aids Foundation Houston, Inc. | |
|
6260 Westpark Dr Ste 100 Houston TX 77057-7353 | |
| (713) 623-6796 | |
| (713) 623-4029 |
| Full Name | Aids Foundation Houston, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6260 Westpark Dr Ste 100, Houston, Texas |
| Authorized Official Name and Position | John Bertin Huckaby (CEO) |
| Authorized Official Contact | 7136236796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aids Foundation Houston, Inc. 6260 Westpark Dr Ste 100 Houston TX 77057-7353 Ph: (713) 623-6796 | Aids Foundation Houston, Inc. 6260 Westpark Dr Ste 100 Houston TX 77057-7353 Ph: (713) 623-6796 |
| NPI Number | 1760148969 |
|---|---|
| Provider Enumeration Date | 11/11/2021 |
| Last Update Date | 11/11/2021 |
| Medicare PECOS PAC ID | 6406247329 |
|---|---|
| Medicare Enrollment ID | O20220103000149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760148969 | NPI | - | NPPES |
| Provider Name | Lakeshur R Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649289091 PECOS PAC ID: 1456359736 Enrollment ID: I20061121000154 |
| Provider Name | Teriya M Richmond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649413329 PECOS PAC ID: 7911186952 Enrollment ID: I20110124000814 |
| Provider Name | Ralston R Lockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972140507 PECOS PAC ID: 5597157230 Enrollment ID: I20220110001283 |
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