| Mindrestorative Psychiatry | |
|
2500 Citywest Blvd Ste 150 Houston TX 77042-3034 | |
| (409) 333-1344 | |
| Not Available |
| Full Name | Mindrestorative Psychiatry |
|---|---|
| Speciality | Clinic/Center |
| Location | 2500 Citywest Blvd Ste 150, Houston, Texas |
| Authorized Official Name and Position | Simonpeter Odion Emokpaire (MANAGING PARTNER) |
| Authorized Official Contact | 4093331344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindrestorative Psychiatry 2500 Citywest Blvd Ste 150 Houston TX 77042-3034 Ph: (409) 333-1344 | Mindrestorative Psychiatry 2500 Citywest Blvd Ste 150 Houston TX 77042-3034 Ph: (409) 333-1344 |
| NPI Number | 1215675152 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 01/04/2025 |
| Certification Date | 01/04/2025 |
| Medicare PECOS PAC ID | 0749652147 |
|---|---|
| Medicare Enrollment ID | O20230213001437 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215675152 | NPI | - | NPPES |
| 20299419 | Medicaid | TX |
| Provider Name | Misper Etando |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033752324 PECOS PAC ID: 2466886353 Enrollment ID: I20200721002154 |
| Provider Name | Simonpeter Emokpaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578106217 PECOS PAC ID: 5193197598 Enrollment ID: I20230214000278 |
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