| Houston Hospicare Pllc | |
|
6565 Fannin St Houston TX 77030-2703 | |
| (281) 252-9993 | |
| Not Available |
| Full Name | Houston Hospicare Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6565 Fannin St, Houston, Texas |
| Authorized Official Name and Position | Hector Carbajal (PROVIDER) |
| Authorized Official Contact | 2812529993 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Hospicare Pllc Po Box 540064 Houston TX 77254-0064 Ph: (281) 252-9993 | Houston Hospicare Pllc 6565 Fannin St Houston TX 77030-2703 Ph: (281) 252-9993 |
| NPI Number | 1467892018 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 06/27/2013 |
| Medicare PECOS PAC ID | 5597990770 |
|---|---|
| Medicare Enrollment ID | O20131023001863 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467892018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hector Carbajal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477704849 PECOS PAC ID: 7012189012 Enrollment ID: I20111018000229 |
| Provider Name | Shuang Li |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013262492 PECOS PAC ID: 1658599014 Enrollment ID: I20140826002207 |
| Provider Name | Qunesha Renee Scallion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053819276 PECOS PAC ID: 7315275286 Enrollment ID: I20190830000374 |
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