| I-credible | |
|
12125 Trawler Pl Texas City TX 77568-1628 | |
| (225) 288-7011 | |
| Not Available |
| Full Name | I-credible |
|---|---|
| Speciality | Case Management |
| Location | 12125 Trawler Pl, Texas City, Texas |
| Authorized Official Name and Position | Victor Ekinaduesa Idusuyi (DIRECTOR) |
| Authorized Official Contact | 8329662102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I-credible 12125 Trawler Pl Texas City TX 77568-1628 Ph: (225) 288-7011 | I-credible 12125 Trawler Pl Texas City TX 77568-1628 Ph: (225) 288-7011 |
| NPI Number | 1134752660 |
|---|---|
| Provider Enumeration Date | 02/12/2020 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134752660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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