| Pasadena Health Center, Inc | |
|
908 Southmore Ave Ste 100 Pasadena TX 77502-1134 | |
| (713) 554-1091 | |
| (713) 554-1096 |
| Full Name | Pasadena Health Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 908 Southmore Ave, Pasadena, Texas |
| Authorized Official Name and Position | John Michael Sweitzer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7135541091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasadena Health Center, Inc 908 Southmore Ave. Ste 100 Pasadena TX 77502-1120 Ph: (713) 554-1091 | Pasadena Health Center, Inc 908 Southmore Ave Ste 100 Pasadena TX 77502-1134 Ph: (713) 554-1091 |
| NPI Number | 1932104965 |
|---|---|
| Provider Enumeration Date | 06/16/2005 |
| Last Update Date | 05/07/2009 |
| Medicare PECOS PAC ID | 6507827144 |
|---|---|
| Medicare Enrollment ID | O20041026000824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932104965 | NPI | - | NPPES |
| 177817701 | Medicaid | TX |
| Provider Name | Harlan Paul Wichelhaus |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649459769 PECOS PAC ID: 5193797108 Enrollment ID: I20040810001212 |
| Provider Name | Carlos V Bernal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114080173 PECOS PAC ID: 8729049333 Enrollment ID: I20041026000524 |
| Provider Name | Ana G Ruiz Allison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861436073 PECOS PAC ID: 9931123288 Enrollment ID: I20060125000592 |
| Provider Name | Farah Abdi Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508340456 PECOS PAC ID: 4880927664 Enrollment ID: I20190611000049 |
| Provider Name | Ashley Cis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508524828 PECOS PAC ID: 2466849120 Enrollment ID: I20220506001017 |
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