| West Houston Rehabilitation Associates, P.a. | |
|
1044 Candlelight Ln Houston TX 77018-2004 | |
| (713) 984-9595 | |
| (713) 984-8576 |
| Full Name | West Houston Rehabilitation Associates, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1044 Candlelight Ln, Houston, Texas |
| Authorized Official Name and Position | Ralph Michael Mancini (PRESIDENT) |
| Authorized Official Contact | 7139849595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Houston Rehabilitation Associates, P.a. Po Box 925510 Houston TX 77292-5510 Ph: (713) 984-9595 | West Houston Rehabilitation Associates, P.a. 1044 Candlelight Ln Houston TX 77018-2004 Ph: (713) 984-9595 |
| NPI Number | 1801848940 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 04/17/2013 |
| Medicare PECOS PAC ID | 8426019530 |
|---|---|
| Medicare Enrollment ID | O20041022000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801848940 | NPI | - | NPPES |
| 082039101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jason E Lockwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225222722 PECOS PAC ID: 1355400607 Enrollment ID: I20081101000037 |
| Provider Name | Ralph M Mancini |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881646974 PECOS PAC ID: 9537138938 Enrollment ID: I20100630000808 |
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