| Lee S. Pollack, M.d., P.a. | |
|
25510 Interstate 45 N Ste 200 Spring TX 77386-1375 | |
| (281) 367-1388 | |
| Not Available |
| Full Name | Lee S. Pollack, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 25510 Interstate 45 N, Spring, Texas |
| Authorized Official Name and Position | Lee S. Pollack (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2813671388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lee S. Pollack, M.d., P.a. Po Box 1059 Spring TX 77383-1059 Ph: (281) 367-1388 | Lee S. Pollack, M.d., P.a. 25510 Interstate 45 N Ste 200 Spring TX 77386-1375 Ph: (281) 367-1388 |
| NPI Number | 1194028332 |
|---|---|
| Provider Enumeration Date | 12/09/2010 |
| Last Update Date | 12/09/2010 |
| Medicare PECOS PAC ID | 6800079674 |
|---|---|
| Medicare Enrollment ID | O20110401000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194028332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | H5730 (Texas) | Primary |
| Provider Name | Lorenzo G Blas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760698583 PECOS PAC ID: 3173696804 Enrollment ID: I20080714000509 |
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