| Houston Idcare Llc | |
|
19923 Cerro Vista St Spring TX 77379-1650 | |
| (281) 433-6479 | |
| Not Available |
| Full Name | Houston Idcare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19923 Cerro Vista St, Spring, Texas |
| Authorized Official Name and Position | Hana Iqbal Javaid (OWNER) |
| Authorized Official Contact | 2814336479 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Idcare Llc 19923 Cerro Vista St Spring TX 77379-1650 Ph: (281) 433-6479 | Houston Idcare Llc 19923 Cerro Vista St Spring TX 77379-1650 Ph: (281) 433-6479 |
| NPI Number | 1649051491 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 4486005477 |
|---|---|
| Medicare Enrollment ID | O20240103003478 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649051491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Hana I Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427345776 PECOS PAC ID: 2062685100 Enrollment ID: I20200430001953 |
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