| Houston Diabetes And Neuropathy Pllc | |
|
2914 N. Main St. Suite B Houston TX 77009-5630 | |
| (713) 227-3436 | |
| (713) 227-7359 |
| Full Name | Houston Diabetes And Neuropathy Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2914 N. Main St., Houston, Texas |
| Authorized Official Name and Position | Henry F Benitez (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7132272222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Diabetes And Neuropathy Pllc 2914 N. Main St. Suite B Houston TX 77009-5630 Ph: (713) 227-3436 | Houston Diabetes And Neuropathy Pllc 2914 N. Main St. Suite B Houston TX 77009-5630 Ph: (713) 227-3436 |
| NPI Number | 1083326961 |
|---|---|
| Provider Enumeration Date | 12/22/2022 |
| Last Update Date | 12/01/2023 |
| Medicare PECOS PAC ID | 4688027626 |
|---|---|
| Medicare Enrollment ID | O20240126000196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083326961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Ismael Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831187004 PECOS PAC ID: 6103874029 Enrollment ID: I20050107000271 |
| Provider Name | Yanet Perez Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265070163 PECOS PAC ID: 4385177617 Enrollment ID: I20241025000137 |
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