| Hou Restorative Care | |
|
11301 Fallbrook Dr Ste 207 Houston TX 77065-4270 | |
| (817) 503-2300 | |
| Not Available |
| Full Name | Hou Restorative Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 11301 Fallbrook Dr Ste 207, Houston, Texas |
| Authorized Official Name and Position | Matt Hammit (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8175032300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hou Restorative Care 16131 N Eldridge Pkwy Ste 100 Tomball TX 77377-9130 Ph: (817) 503-2300 | Hou Restorative Care 11301 Fallbrook Dr Ste 207 Houston TX 77065-4270 Ph: (817) 503-2300 |
| NPI Number | 1740779800 |
|---|---|
| Provider Enumeration Date | 05/04/2018 |
| Last Update Date | 11/15/2022 |
| Medicare PECOS PAC ID | 0345593836 |
|---|---|
| Medicare Enrollment ID | O20181031000489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740779800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Namita Tuli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689623597 PECOS PAC ID: 8022021575 Enrollment ID: I20120110000641 |
| Provider Name | Nicole L Reid |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215089891 PECOS PAC ID: 9436193174 Enrollment ID: I20130917000539 |
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