| Ut Physicians Community Health & Wellness Center -southwest | |
|
10623 Bellaire Blvd Suite C280 Houston TX 77072-5242 | |
| (713) 486-5900 | |
| (713) 486-5901 |
| Full Name | Ut Physicians Community Health & Wellness Center -southwest |
|---|---|
| Speciality | Clinic/center |
| Location | 10623 Bellaire Blvd, Houston, Texas |
| Authorized Official Name and Position | Fahad Kamal (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7134865915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ut Physicians Community Health & Wellness Center -southwest 10623 Bellaire Blvd Suite C280 Houston TX 77072-5242 Ph: (713) 486-5900 | Ut Physicians Community Health & Wellness Center -southwest 10623 Bellaire Blvd Suite C280 Houston TX 77072-5242 Ph: (713) 486-5900 |
| NPI Number | 1417401258 |
|---|---|
| Provider Enumeration Date | 08/10/2016 |
| Last Update Date | 08/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417401258 | NPI | - | NPPES |
| 1073811832 | Medicaid | TX | |
| 1457775058 | Medicaid | TX | |
| 1194919027 | Medicaid | TX | |
| 1225299753 | Medicaid | TX | |
| 1407248149 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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