| Senior Care Providers Pllc | |
|
6630 Fm 1463 Rd Ste A500 Katy TX 77494-7526 | |
| (346) 707-8978 | |
| (313) 457-1003 |
| Full Name | Senior Care Providers Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6630 Fm 1463 Rd Ste A500, Katy, Texas |
| Authorized Official Name and Position | Mohamed Mansour (OWNER) |
| Authorized Official Contact | 3139455450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Care Providers Pllc 1910 Aspley Ct Houston TX 77094-3431 Ph: (484) 431-0039 | Senior Care Providers Pllc 6630 Fm 1463 Rd Ste A500 Katy TX 77494-7526 Ph: (346) 707-8978 |
| NPI Number | 1841824489 |
|---|---|
| Provider Enumeration Date | 02/22/2020 |
| Last Update Date | 07/14/2023 |
| Medicare PECOS PAC ID | 2567890585 |
|---|---|
| Medicare Enrollment ID | O20200325000617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841824489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mohamed Mansour |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871809442 PECOS PAC ID: 7113144833 Enrollment ID: I20200325000741 |
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