| Ccare Tx Pllc | |
|
2743 Imperia Dr Ste 101 Sugar Land TX 77479-8988 | |
| (333) 456-7952 | |
| Not Available |
| Full Name | Ccare Tx Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2743 Imperia Dr Ste 101, Sugar Land, Texas |
| Authorized Official Name and Position | Imran Chishti (OWNER) |
| Authorized Official Contact | 3334567952 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ccare Tx Pllc 2743 Imperia Dr Ste 101 Sugar Land TX 77479-8988 Ph: () - | Ccare Tx Pllc 2743 Imperia Dr Ste 101 Sugar Land TX 77479-8988 Ph: (333) 456-7952 |
| NPI Number | 1538995972 |
|---|---|
| Provider Enumeration Date | 09/11/2024 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Medicare PECOS PAC ID | 9739610585 |
|---|---|
| Medicare Enrollment ID | O20241003001670 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538995972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Imran I Chishti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740220557 PECOS PAC ID: 4688640071 Enrollment ID: I20241003002338 |
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