| Mava Healthcare System Llc | |
|
25319 Interstate 45 Ste 100 Spring TX 77380-3551 | |
| (832) 810-0200 | |
| (888) 682-7273 |
| Full Name | Mava Healthcare System Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 25319 Interstate 45 Ste 100, Spring, Texas |
| Authorized Official Name and Position | Arif Zaheer (OWNER) |
| Authorized Official Contact | 3212876866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mava Healthcare System Llc 25319 Interstate 45 Ste 100 Spring TX 77380-3551 Ph: (832) 810-0200 | Mava Healthcare System Llc 25319 Interstate 45 Ste 100 Spring TX 77380-3551 Ph: (832) 810-0200 |
| NPI Number | 1942854583 |
|---|---|
| Provider Enumeration Date | 08/01/2019 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Medicare PECOS PAC ID | 9436586153 |
|---|---|
| Medicare Enrollment ID | O20200610001239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942854583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Waseem Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023139581 PECOS PAC ID: 0840323093 Enrollment ID: I20100809000623 |
| Provider Name | Jawad Riaz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962425280 PECOS PAC ID: 9335185446 Enrollment ID: I20131021001316 |
| Provider Name | Theodora Ngozi Agbasi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538593173 PECOS PAC ID: 3678746237 Enrollment ID: I20150513002414 |
| Provider Name | Henry Chavez Cuffaro |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912348061 PECOS PAC ID: 7517236268 Enrollment ID: I20170712000593 |
| Provider Name | Fanny Egbe Nnabuike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992207930 PECOS PAC ID: 8123375219 Enrollment ID: I20180720000295 |
| Provider Name | Nkechinyere Concilia Iwuorisha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134769656 PECOS PAC ID: 3779997382 Enrollment ID: I20210121003142 |
| Provider Name | Anna Marie Lander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386291375 PECOS PAC ID: 0749684207 Enrollment ID: I20210804004158 |
| Provider Name | Catherine Ogbonna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003456542 PECOS PAC ID: 7719375666 Enrollment ID: I20211026000164 |
| Provider Name | Mary Nse Wellington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811652878 PECOS PAC ID: 2567859382 Enrollment ID: I20220426002399 |
| Provider Name | Priscillia Omoleme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043554991 PECOS PAC ID: 0648605816 Enrollment ID: I20220919001752 |
| Provider Name | Omotayo Y Sofela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033867007 PECOS PAC ID: 7517343197 Enrollment ID: I20221005001518 |
| Provider Name | Mohsin Zafar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689164105 PECOS PAC ID: 3476806076 Enrollment ID: I20231120002109 |
| Provider Name | Pablo Cueto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730961947 PECOS PAC ID: 3274982475 Enrollment ID: I20231213002853 |
| Provider Name | Julie Thibeaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871368985 PECOS PAC ID: 3779934260 Enrollment ID: I20240109003327 |
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