| Houston Neurocare, P.a. | |
|
6624 Fannin St. Suite 1670 Houston TX 77030 | |
| (713) 795-0033 | |
| (713) 796-9302 |
| Full Name | Houston Neurocare, P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6624 Fannin St., Houston, Texas |
| Authorized Official Name and Position | Aziz Shaibani (DIRECTOR) |
| Authorized Official Contact | 7137950033 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Neurocare, P.a. 6624 Fannin St. Suite 1670 Houston TX 77030 Ph: (713) 795-0033 | Houston Neurocare, P.a. 6624 Fannin St. Suite 1670 Houston TX 77030 Ph: (713) 795-0033 |
| NPI Number | 1972698488 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Medicare PECOS PAC ID | 6002979937 |
|---|---|
| Medicare Enrollment ID | O20090120000296 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972698488 | NPI | - | NPPES |
| Z000062F8 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | J5033 (Texas) | Primary |
| Provider Name | Aziz Ismail Shaibani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164423588 PECOS PAC ID: 0840212940 Enrollment ID: I20060103000370 |
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