| Houston Mind And Brain | |
|
9432 Katy Fwy Ste 460 Houston TX 77055-6349 | |
| (832) 699-7922 | |
| (833) 377-0446 |
| Full Name | Houston Mind And Brain |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 9432 Katy Fwy Ste 460, Houston, Texas |
| Authorized Official Name and Position | Cristin Rodriguez (MANAGER) |
| Authorized Official Contact | 8326997922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Houston Mind And Brain 9432 Katy Fwy Ste 460 Houston TX 77055-6349 Ph: (832) 699-7922 | Houston Mind And Brain 9432 Katy Fwy Ste 460 Houston TX 77055-6349 Ph: (832) 699-7922 |
| NPI Number | 1073163093 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 05/16/2022 |
| Certification Date | 11/18/2021 |
| Medicare PECOS PAC ID | 6507295441 |
|---|---|
| Medicare Enrollment ID | O20200329000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073163093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jennifer I Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871927574 PECOS PAC ID: 6901031202 Enrollment ID: I20131022001095 |
| Provider Name | Raymond Y Cho |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700859238 PECOS PAC ID: 0941497259 Enrollment ID: I20140926001468 |
| Provider Name | Hanjing Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366860447 PECOS PAC ID: 2961755038 Enrollment ID: I20181019001878 |
| Provider Name | Inger Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851944631 PECOS PAC ID: 8527489632 Enrollment ID: I20200528000080 |
| Provider Name | Maryjane Guerrero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689254237 PECOS PAC ID: 2769891605 Enrollment ID: I20210506000454 |
| Provider Name | Jideofor Chekwubechukwu Azie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235762360 PECOS PAC ID: 6901200963 Enrollment ID: I20210812002408 |
| Provider Name | Rita Kronfeld - Loeb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508299793 PECOS PAC ID: 5395118335 Enrollment ID: I20230222001905 |
| Provider Name | Joe Espinoza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033790670 PECOS PAC ID: 4385018266 Enrollment ID: I20230315002345 |
| Provider Name | Daniel Wen Dan Liaou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790367597 PECOS PAC ID: 9931567476 Enrollment ID: I20230615001609 |
| Provider Name | Raymond C Chukwuma |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508578436 PECOS PAC ID: 1153767488 Enrollment ID: I20240308003643 |
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