| Houston Health & Sports Medicine | |
|
9180 Pinecroft Dr # 390 Shenandoah TX 77380-2794 | |
| (281) 939-5655 | |
| Not Available |
| Full Name | Houston Health & Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 9180 Pinecroft Dr # 390, Shenandoah, Texas |
| Authorized Official Name and Position | Dominic Maneen (PHYSICIAN) |
| Authorized Official Contact | 8326554774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Health & Sports Medicine 742 Saddlewood Cir Shenandoah TX 77381-1038 Ph: () - | Houston Health & Sports Medicine 9180 Pinecroft Dr # 390 Shenandoah TX 77380-2794 Ph: (281) 939-5655 |
| NPI Number | 1942955265 |
|---|---|
| Provider Enumeration Date | 02/15/2022 |
| Last Update Date | 02/15/2022 |
| Medicare PECOS PAC ID | 6305233164 |
|---|---|
| Medicare Enrollment ID | O20220425002583 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942955265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Aryanna Katryne Amini |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487031266 PECOS PAC ID: 0749578466 Enrollment ID: I20181101002034 |
| Provider Name | Dominic Maneen |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447785449 PECOS PAC ID: 7012287667 Enrollment ID: I20220425002609 |
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