Hovah Healthcare P.a | |
404 S 8th St Carrizo Springs TX 78834-3818 | |
(830) 876-9060 | |
Not Available |
Full Name | Hovah Healthcare P.a |
---|---|
Speciality | Family Medicine |
Location | 404 S 8th St, Carrizo Springs, Texas |
Authorized Official Name and Position | Opeyemi Falebita (CEO) |
Authorized Official Contact | 2402477807 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hovah Healthcare P.a Po Box 1597 Carrizo Springs TX 78834-7597 Ph: () - | Hovah Healthcare P.a 404 S 8th St Carrizo Springs TX 78834-3818 Ph: (830) 876-9060 |
NPI Number | 1063870632 |
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Provider Enumeration Date | 02/10/2016 |
Last Update Date | 02/10/2016 |
Medicare PECOS PAC ID | 0840581351 |
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Medicare Enrollment ID | O20160614000198 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063870632 | NPI | - | NPPES |
244699ZBDG | Medicaid | MD | |
470346YKUQ | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | Q2444 (Texas) | Primary |
Provider Name | Oluwatoyin Tolani Falebita |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669731816 PECOS PAC ID: 0840592564 Enrollment ID: I20160201000112 |
Provider Name | Opeyemi Falebita |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104054212 PECOS PAC ID: 0446406037 Enrollment ID: I20160216001370 |
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