| Brainflo Pa | |
|
2180 North Loop W Ste 320 Houston TX 77018-8014 | |
| (832) 384-1560 | |
| (832) 384-1585 |
| Full Name | Brainflo Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2180 North Loop W, Houston, Texas |
| Authorized Official Name and Position | Haesue Florence Kim (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2814661891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainflo Pa Po Box 004814 Saint Louis MO 63150-0001 Ph: (281) 466-1891 | Brainflo Pa 2180 North Loop W Ste 320 Houston TX 77018-8014 Ph: (832) 384-1560 |
| NPI Number | 1013150507 |
|---|---|
| Provider Enumeration Date | 04/13/2009 |
| Last Update Date | 04/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013150507 | NPI | - | NPPES |
| L5412 | Other | TX | LICENSE /PERMIT # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | L5412 (Texas) | Primary |
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