| Headache And Migraine Institute Of Texas, P.a. | |
|
400 N Loop 1604 E Suite 345 San Antonio TX 78232-1258 | |
| (210) 402-2920 | |
| (210) 403-9827 |
| Full Name | Headache And Migraine Institute Of Texas, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 400 N Loop 1604 E, San Antonio, Texas |
| Authorized Official Name and Position | Nasha L Holt (OWNER) |
| Authorized Official Contact | 2104022920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headache And Migraine Institute Of Texas, P.a. Po Box 2613 Universal City TX 78148-1613 Ph: (210) 402-2920 | Headache And Migraine Institute Of Texas, P.a. 400 N Loop 1604 E Suite 345 San Antonio TX 78232-1258 Ph: (210) 402-2920 |
| NPI Number | 1922011774 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 8820190598 |
|---|---|
| Medicare Enrollment ID | O20070605000366 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922011774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | K4084 (Texas) | Primary |
| Provider Name | Nasha L Holt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639282809 PECOS PAC ID: 6709776966 Enrollment ID: I20040319000510 |
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