| Ata T Salek | |
|
1140 Business Center Dr. Ste. 200 Houston TX 77043 | |
| (713) 468-7911 | |
| (713) 468-5191 |
| Full Name | Ata T Salek |
|---|---|
| Speciality | Family Medicine |
| Location | 1140 Business Center Dr., Houston, Texas |
| Authorized Official Name and Position | Ata T Salek (OWNER) |
| Authorized Official Contact | 7134687911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ata T Salek 1140 Business Center Dr. Ste. 200 Houston TX 77043 Ph: (713) 468-7911 | Ata T Salek 1140 Business Center Dr. Ste. 200 Houston TX 77043 Ph: (713) 468-7911 |
| NPI Number | 1376687491 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 06/10/2011 |
| Medicare PECOS PAC ID | 4981893831 |
|---|---|
| Medicare Enrollment ID | O20110107000959 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376687491 | NPI | - | NPPES |
| 099098802 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G9656 (Texas) | Primary |
| Provider Name | Ata T Salek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063567840 PECOS PAC ID: 5890729453 Enrollment ID: I20110113000263 |
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