| Houston Hyperbaric Oxygen Center Llc | |
|
18525 W Lake Houston Pkwy Ste 104 Humble TX 77346-3446 | |
| (281) 713-6543 | |
| Not Available |
| Full Name | Houston Hyperbaric Oxygen Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18525 W Lake Houston Pkwy Ste 104, Humble, Texas |
| Authorized Official Name and Position | Brad Copus (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2817136543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Hyperbaric Oxygen Center Llc 18525 W Lake Houston Pkwy Ste 104 Humble TX 77346-3446 Ph: (281) 713-6543 | Houston Hyperbaric Oxygen Center Llc 18525 W Lake Houston Pkwy Ste 104 Humble TX 77346-3446 Ph: (281) 713-6543 |
| NPI Number | 1548995061 |
|---|---|
| Provider Enumeration Date | 07/19/2022 |
| Last Update Date | 05/09/2023 |
| Medicare PECOS PAC ID | 4183000391 |
|---|---|
| Medicare Enrollment ID | O20221202002695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548995061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Gene M Barclay |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538195151 PECOS PAC ID: 7315906203 Enrollment ID: I20041006001079 |
| Provider Name | Allison M Boyle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992053904 PECOS PAC ID: 1153540703 Enrollment ID: I20140915001264 |
| Provider Name | Basil Z Khalaf |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285924142 PECOS PAC ID: 2163652389 Enrollment ID: I20200317000792 |
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