| Deer O Behavioral Health | |
|
2440 Texas Pkwy Ste 340g Missouri City TX 77489-4231 | |
| (346) 464-2999 | |
| Not Available |
| Full Name | Deer O Behavioral Health |
|---|---|
| Speciality | Case Management |
| Location | 2440 Texas Pkwy Ste 340g, Missouri City, Texas |
| Authorized Official Name and Position | Kenneth Smith (PRESIDENT) |
| Authorized Official Contact | 3464642999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deer O Behavioral Health 2440 Texas Pkwy Ste 340g Missouri City TX 77489-4231 Ph: (346) 464-2999 | Deer O Behavioral Health 2440 Texas Pkwy Ste 340g Missouri City TX 77489-4231 Ph: (346) 464-2999 |
| NPI Number | 1871358226 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 01/31/2025 |
| Certification Date | 01/31/2025 |
| Medicare PECOS PAC ID | 4587002936 |
|---|---|
| Medicare Enrollment ID | O20240403003547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871358226 | NPI | - | NPPES |
| Provider Name | Heidi Mandl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851746499 PECOS PAC ID: 7719276542 Enrollment ID: I20160518002062 |
| Provider Name | Catrina Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649810748 PECOS PAC ID: 3971933656 Enrollment ID: I20240403003700 |
| Provider Name | Denise Aderibigbe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790548840 PECOS PAC ID: 1355782640 Enrollment ID: I20240517001481 |
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