| Edward E Icaza Md Pa | |
|
23920 Katy Freeway #405 Katy TX 77494 | |
| (832) 437-8375 | |
| (832) 437-2813 |
| Full Name | Edward E Icaza Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23920 Katy Freeway, Katy, Texas |
| Authorized Official Name and Position | Edward E Icaza (OWNER) |
| Authorized Official Contact | 8324378375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward E Icaza Md Pa 23920 Katy Freeway #405 Katy TX 77494 Ph: (832) 437-8375 | Edward E Icaza Md Pa 23920 Katy Freeway #405 Katy TX 77494 Ph: (832) 437-8375 |
| NPI Number | 1033295142 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 04/04/2012 |
| Medicare PECOS PAC ID | 2163432964 |
|---|---|
| Medicare Enrollment ID | O20060424000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033295142 | NPI | - | NPPES |
| 0072JA | Other | TX | BCBS |
| K9809 | Other | TX | NEUROLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | K9809 (Texas) | Primary |
| Provider Name | Edward Icaza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134121940 PECOS PAC ID: 8325058126 Enrollment ID: I20111114000357 |
Stone Creek Psychotherapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 20915 Kingsland Blvd, Katy, TX 77450 Phone: 281-579-0703 Fax: 281-398-9719 | |
Valentia-bilingual Therapy Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 722 Pin Oak Rd Ste 220, Katy, TX 77494 Phone: 832-687-5125 | |
Able Thoughts Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1503 Valley Landing Dr., Katy, TX 77450 Phone: 281-827-8556 | |
Liberty Mental Wellness, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 227020 Morton Ranch Rd, Ste 160, #270, Katy, TX 77449 Phone: 832-844-5611 | |
Creative Therapeutic Space, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 23211 Red River Dr, Katy, TX 77494 Phone: 832-779-3201 | |
Catalyst Behavior Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 21230 Kingsland Blvd Ste 100a, Katy, TX 77450 Phone: 605-271-2690 Fax: 605-271-3956 |