| Courageous American Health Inc | |
|
5900 Balcones Dr Austin TX 78731-4257 | |
| (281) 391-1188 | |
| Not Available |
| Full Name | Courageous American Health Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5900 Balcones Dr, Austin, Texas |
| Authorized Official Name and Position | Tomitamunokuma Tariah (OWNER) |
| Authorized Official Contact | 2813911188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Courageous American Health Inc 5900 Balcones Dr Austin TX 78731-4257 Ph: () - | Courageous American Health Inc 5900 Balcones Dr Austin TX 78731-4257 Ph: (281) 391-1188 |
| NPI Number | 1255196614 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/15/2024 |
| Medicare PECOS PAC ID | 6608215967 |
|---|---|
| Medicare Enrollment ID | O20240418003844 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255196614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Tomitamunokuma Isobo Tariah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972373280 PECOS PAC ID: 3870939119 Enrollment ID: I20240308003728 |
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