Health & Wellness Clinic, Pa | |
23920 Katy Fwy Ste 550 Katy TX 77494-0883 | |
(281) 665-8498 | |
(281) 665-8503 |
Full Name | Health & Wellness Clinic, Pa |
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Speciality | Family Medicine |
Location | 23920 Katy Fwy Ste 550, Katy, Texas |
Authorized Official Name and Position | Ahmad-rabia Sulaiman Al-khush (PRESIDENT) |
Authorized Official Contact | 2816658498 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Health & Wellness Clinic, Pa 23920 Katy Fwy Ste 550 Katy TX 77494-0883 Ph: (281) 665-8498 | Health & Wellness Clinic, Pa 23920 Katy Fwy Ste 550 Katy TX 77494-0883 Ph: (281) 665-8498 |
NPI Number | 1851415020 |
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Provider Enumeration Date | 03/16/2007 |
Last Update Date | 03/29/2023 |
Medicare PECOS PAC ID | 6608062070 |
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Medicare Enrollment ID | O20101124000411 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851415020 | NPI | - | NPPES |
154488401 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | L2086 (Texas) | Primary |
Provider Name | Ahmad-rabia S Al-khush |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821080714 PECOS PAC ID: 1759345309 Enrollment ID: I20041115000440 |
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