| Citadel Healthcare Services Llc | |
|
3542 Gore Creek Dr Katy TX 77494-6202 | |
| (713) 935-5847 | |
| Not Available |
| Full Name | Citadel Healthcare Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 3542 Gore Creek Dr, Katy, Texas |
| Authorized Official Name and Position | Eyituoyo Osaro Onuwaje (CEO) |
| Authorized Official Contact | 7139355847 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Citadel Healthcare Services Llc 3542 Gore Creek Dr Katy TX 77494-6202 Ph: (713) 935-5847 | Citadel Healthcare Services Llc 3542 Gore Creek Dr Katy TX 77494-6202 Ph: (713) 935-5847 |
| NPI Number | 1487324539 |
|---|---|
| Provider Enumeration Date | 09/19/2021 |
| Last Update Date | 09/19/2021 |
| Certification Date | 09/19/2021 |
| Medicare PECOS PAC ID | 2466890363 |
|---|---|
| Medicare Enrollment ID | O20240410002103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487324539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Eyituoyo Osaro Onuwaje |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366907347 PECOS PAC ID: 6002254901 Enrollment ID: I20240410002637 |
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