| Headache Center Of River Oaks | |
|
2711 Ferndale Street Houston TX 77098 | |
| (713) 522-8228 | |
| Not Available |
| Full Name | Headache Center Of River Oaks |
|---|---|
| Speciality | Clinic/Center |
| Location | 2711 Ferndale Street, Houston, Texas |
| Authorized Official Name and Position | Carlton Perry (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7135228228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headache Center Of River Oaks 2711 Ferndale St Houston TX 77098-1113 Ph: () - | Headache Center Of River Oaks 2711 Ferndale Street Houston TX 77098 Ph: (713) 522-8228 |
| NPI Number | 1114570199 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 11/21/2019 |
| Medicare PECOS PAC ID | 5092140707 |
|---|---|
| Medicare Enrollment ID | O20200127000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114570199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Pamela Blake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548268691 PECOS PAC ID: 7315942778 Enrollment ID: I20070627000121 |
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