| Horizon Healthcare Clinic | |
|
11210 Bellaire Blvd Ste 126a Houston TX 77072-2528 | |
| (281) 564-2900 | |
| (281) 564-0800 |
| Full Name | Horizon Healthcare Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 11210 Bellaire Blvd Ste 126a, Houston, Texas |
| Authorized Official Name and Position | Thanh Kim Hoang (PRESIDENT) |
| Authorized Official Contact | 8323263096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Horizon Healthcare Clinic 11210 Bellaire Blvd 126a Houston TX 77072-2528 Ph: (281) 564-2900 | Horizon Healthcare Clinic 11210 Bellaire Blvd Ste 126a Houston TX 77072-2528 Ph: (281) 564-2900 |
| NPI Number | 1063783827 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 03/21/2024 |
| Medicare PECOS PAC ID | 1052570801 |
|---|---|
| Medicare Enrollment ID | O20120314000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063783827 | NPI | - | NPPES |
| 45D1058181 | Other | CLIA WAIVED CERTIFICATE | |
| 01808303 | Medicaid | TX | |
| 113793704 | Medicaid | TX | |
| 018083802 | Medicaid | TX | |
| 113793701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J9885 (Texas) | Primary |
| Provider Name | Thanh Kim Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508828724 PECOS PAC ID: 8123287976 Enrollment ID: I20120314000263 |
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