Doctor At Home Llc | |
427 W 20th St Ste 610 Houston TX 77008-2431 | |
(713) 867-9637 | |
(713) 863-9637 |
Full Name | Doctor At Home Llc |
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Speciality | Internal Medicine |
Location | 427 W 20th St Ste 610, Houston, Texas |
Authorized Official Name and Position | Ibrahim Garcia-mowatt (DIRECTOR) |
Authorized Official Contact | 7138630492 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Doctor At Home Llc 427 W 20th St Ste 610 Houston TX 77008-2431 Ph: (713) 867-9637 | Doctor At Home Llc 427 W 20th St Ste 610 Houston TX 77008-2431 Ph: (713) 867-9637 |
NPI Number | 1841877289 |
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Provider Enumeration Date | 03/24/2021 |
Last Update Date | 04/28/2023 |
Medicare PECOS PAC ID | 1153721659 |
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Medicare Enrollment ID | O20210621000047 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841877289 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
251E00000X | Home Health | (* (Not Available)) | Secondary |
Provider Name | Ibrahim Garcia-mowatt |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689750200 PECOS PAC ID: 3274582143 Enrollment ID: I20050118000652 |
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