| Concord Behavioral Health Llc | |
|
9600 Fondren Rd Ste B3 Houston TX 77096-3682 | |
| (713) 292-7361 | |
| (713) 771-3801 |
| Full Name | Concord Behavioral Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9600 Fondren Rd Ste B3, Houston, Texas |
| Authorized Official Name and Position | Joseph Ukonu (DIRECTOR/CLINICIAN) |
| Authorized Official Contact | 8322752814 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord Behavioral Health Llc 7007 Ballinger Ridge Ln Richmond TX 77407-4058 Ph: (713) 292-7361 | Concord Behavioral Health Llc 9600 Fondren Rd Ste B3 Houston TX 77096-3682 Ph: (713) 292-7361 |
| NPI Number | 1548030190 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/04/2024 |
| Medicare PECOS PAC ID | 9830533827 |
|---|---|
| Medicare Enrollment ID | O20240217000703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548030190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Joseph O Ukonu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487761904 PECOS PAC ID: 3779733050 Enrollment ID: I20240304000602 |
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