| Lymphedema Therapy Specialists Inc. | |
|
2385 W Bellfort Ave. Ste 100 Houston TX 77054 | |
| (713) 497-5335 | |
| (833) 891-3211 |
| Full Name | Lymphedema Therapy Specialists Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2385 W Bellfort Ave., Houston, Texas |
| Authorized Official Name and Position | Benjamin Gomez (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 8329309819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lymphedema Therapy Specialists Inc. 2385 W Bellfort Ave. Ste. 100 Houston TX 77054-5001 Ph: (713) 497-5335 | Lymphedema Therapy Specialists Inc. 2385 W Bellfort Ave. Ste 100 Houston TX 77054 Ph: (713) 497-5335 |
| NPI Number | 1578104352 |
|---|---|
| Provider Enumeration Date | 10/03/2019 |
| Last Update Date | 09/05/2024 |
| Medicare PECOS PAC ID | 4183956451 |
|---|---|
| Medicare Enrollment ID | O20191106001489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578104352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| Provider Name | Martha Don White |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083756100 PECOS PAC ID: 0244291474 Enrollment ID: I20041021000512 |
| Provider Name | Ibrahim Garcia-mowatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689750200 PECOS PAC ID: 3274582143 Enrollment ID: I20050118000652 |
| Provider Name | John Share |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215907316 PECOS PAC ID: 7719918408 Enrollment ID: I20050823000182 |
| Provider Name | Shahnaz A Karim |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1336135334 PECOS PAC ID: 6103976972 Enrollment ID: I20090617000102 |
| Provider Name | Tonie K Reincke |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881829166 PECOS PAC ID: 8820246267 Enrollment ID: I20140116001794 |
| Provider Name | Etinosa Obadagbonyi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699373092 PECOS PAC ID: 7911317912 Enrollment ID: I20201103000859 |
| Provider Name | Selma Livia Rendon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578881223 PECOS PAC ID: 9032522404 Enrollment ID: I20201231000955 |
| Provider Name | Tamara F Liburd |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962096941 PECOS PAC ID: 5597166322 Enrollment ID: I20210630001272 |
| Provider Name | Melinda L Ridley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588349781 PECOS PAC ID: 5193179810 Enrollment ID: I20230929001002 |
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