| Headachemd Houston Pllc | |
|
2410 Ella Blvd Ste C Houston TX 77008-2721 | |
| (713) 426-3337 | |
| (713) 861-4093 |
| Full Name | Headachemd Houston Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2410 Ella Blvd Ste C, Houston, Texas |
| Authorized Official Name and Position | Pamela Y Blake (MD (OWNER)) |
| Authorized Official Contact | 7134263337 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Headachemd Houston Pllc 2410 Ella Blvd Ste C Houston TX 77008-2721 Ph: (713) 426-3337 | Headachemd Houston Pllc 2410 Ella Blvd Ste C Houston TX 77008-2721 Ph: (713) 426-3337 |
| NPI Number | 1114570199 |
|---|---|
| Provider Enumeration Date | 07/19/2019 |
| Last Update Date | 03/19/2026 |
| Certification Date | 03/19/2026 |
| Medicare PECOS PAC ID | 5092140707 |
|---|---|
| Medicare Enrollment ID | O20200127000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114570199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Pamela Blake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548268691 PECOS PAC ID: 7315942778 Enrollment ID: I20070627000121 |
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