| Houston Liver Institute Inc | |
|
1155 Dairy Ashford Road Ste 220 Houston TX 77079-3012 | |
| (281) 809-3234 | |
| (281) 809-3287 |
| Full Name | Houston Liver Institute Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1155 Dairy Ashford Road, Houston, Texas |
| Authorized Official Name and Position | Mazen Noureddin (PRESIDENT) |
| Authorized Official Contact | 2818093234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Liver Institute Inc 1155 Dairy Ashford Road Ste 220 Houston TX 77079-3012 Ph: (281) 809-3234 | Houston Liver Institute Inc 1155 Dairy Ashford Road Ste 220 Houston TX 77079-3012 Ph: (281) 809-3234 |
| NPI Number | 1790414704 |
|---|---|
| Provider Enumeration Date | 06/06/2022 |
| Last Update Date | 06/13/2022 |
| Medicare PECOS PAC ID | 2163805011 |
|---|---|
| Medicare Enrollment ID | O20220810002521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790414704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 207RI0008X | Internal Medicine - Hepatology | (* (Not Available)) | Secondary |
| Provider Name | Mazen Noureddin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1205087087 PECOS PAC ID: 5496885188 Enrollment ID: I20220810002710 |
| Provider Name | Van Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649852328 PECOS PAC ID: 7214397926 Enrollment ID: I20230713000418 |
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