| Providence Medical & Mental Health Clinic | |
|
13155 Westheimer Rd Ste 133 Houston TX 77077-5529 | |
| (281) 920-0344 | |
| (281) 920-0263 |
| Full Name | Providence Medical & Mental Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 13155 Westheimer Rd Ste 133, Houston, Texas |
| Authorized Official Name and Position | Esther Akunna Eke-huber (NURSE PRACTITIONER) |
| Authorized Official Contact | 2819200344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Medical & Mental Health Clinic 13155 Westheimer Road Suite #133 Houston TX 77077 Ph: (281) 920-0344 | Providence Medical & Mental Health Clinic 13155 Westheimer Rd Ste 133 Houston TX 77077-5529 Ph: (281) 920-0344 |
| NPI Number | 1790061315 |
|---|---|
| Provider Enumeration Date | 10/27/2011 |
| Last Update Date | 05/13/2024 |
| Medicare PECOS PAC ID | 7113189077 |
|---|---|
| Medicare Enrollment ID | O20120510000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790061315 | NPI | - | NPPES |
| 363LP0808X | Medicaid | TX | |
| APRN11015237 | Other | FL | FLORIDA BOARD OF NURSING |
| 363LA2200X | Medicaid | TX | |
| AP118542 | Other | TX | TEXAS BOARD OF NURSING |
| 118542 | Other | TX | TEXAS BOARD OF NURSING |
| 78132 | Other | NM | NEW MEXICO BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 801287323 (Texas) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | (Texas) | Secondary |
| Provider Name | Esther Akunna Eke-huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336479757 PECOS PAC ID: 0446413702 Enrollment ID: I20120523000660 |
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