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5858 Westheimer Rd Ste 200 Houston TX 77057-5643 | |
| (713) 487-9310 | |
| (713) 489-1719 |
| Full Name | |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 5858 Westheimer Rd Ste 200, Houston, Texas |
| Authorized Official Name and Position | Andres Tapia (OWNER) |
| Authorized Official Contact | 7134879310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
5858 Westheimer Rd Ste 200 Houston TX 77057-5643 Ph: (713) 487-9310 | 5858 Westheimer Rd Ste 200 Houston TX 77057-5643 Ph: (713) 487-9310 |
| NPI Number | 1306259379 |
|---|---|
| Provider Enumeration Date | 06/08/2014 |
| Last Update Date | 04/07/2021 |
| Certification Date | 04/07/2021 |
| Medicare PECOS PAC ID | 3971886508 |
|---|---|
| Medicare Enrollment ID | O20170206002276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306259379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 66505 (Texas) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Andres Tapia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1699071852 PECOS PAC ID: 9133489065 Enrollment ID: I20180214000348 |
| Provider Name | Anthony R Ward |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619593514 PECOS PAC ID: 2062837289 Enrollment ID: I20200805002194 |
| Provider Name | Gisela Esteva |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497452940 PECOS PAC ID: 4688022742 Enrollment ID: I20231129003552 |
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