Senior Psychcare Of San Antonio I, Pllc | |
4635 Southwest Fwy Ste 635 Houston TX 77027-7112 | |
(713) 850-0049 | |
(713) 627-7302 |
Full Name | Senior Psychcare Of San Antonio I, Pllc |
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Speciality | Psychiatry & Neurology |
Location | 4635 Southwest Fwy Ste 635, Houston, Texas |
Authorized Official Name and Position | Randall J. Frapart (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 7138500049 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Senior Psychcare Of San Antonio I, Pllc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 | Senior Psychcare Of San Antonio I, Pllc 4635 Southwest Fwy Ste 635 Houston TX 77027-7112 Ph: (713) 850-0049 |
NPI Number | 1225324270 |
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Provider Enumeration Date | 06/28/2011 |
Last Update Date | 12/13/2018 |
Medicare PECOS PAC ID | 8628241544 |
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Medicare Enrollment ID | O20111109000140 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225324270 | NPI | - | NPPES |
0091WY | Other | TX | BCBS TX |
288317501 | Medicaid | TX | |
288317502 | Medicaid | TX | |
DS3800 | Other | TX | RR MCR |
Provider Name | David G Johnson |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689609125 PECOS PAC ID: 8820992712 Enrollment ID: I20031121000697 |
Provider Name | Tayfun Karakoc |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1265487904 PECOS PAC ID: 3577525963 Enrollment ID: I20041028000437 |
Provider Name | Marcelo Villarreal |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1083704613 PECOS PAC ID: 0547429581 Enrollment ID: I20120309000488 |
Provider Name | Paloma B Solis Cariaga |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699030536 PECOS PAC ID: 2567619109 Enrollment ID: I20120904000315 |
Provider Name | John Lusins |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1689846701 PECOS PAC ID: 8123290533 Enrollment ID: I20130815000785 |
Provider Name | Anna L Antu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942574991 PECOS PAC ID: 0244518777 Enrollment ID: I20161103000484 |
Provider Name | Berthony Bien-aime |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194276683 PECOS PAC ID: 0143505438 Enrollment ID: I20170329001142 |
Provider Name | Anthony L Benoit |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083087365 PECOS PAC ID: 7810261310 Enrollment ID: I20170921003703 |
Provider Name | Victoria Forsberg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255831210 PECOS PAC ID: 9830452242 Enrollment ID: I20180418000794 |
Provider Name | Ryan Craig Smith |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1659739399 PECOS PAC ID: 8325301476 Enrollment ID: I20180424002022 |
Provider Name | Vinod Alluri |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548279870 PECOS PAC ID: 1254336357 Enrollment ID: I20190122001784 |
Provider Name | Kristan Bannister |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093339178 PECOS PAC ID: 0345667945 Enrollment ID: I20200827002132 |
Provider Name | Chad E Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922600444 PECOS PAC ID: 2961813183 Enrollment ID: I20201119001369 |
Provider Name | Kathryn Kortzendorf |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831497098 PECOS PAC ID: 9638353311 Enrollment ID: I20210106002391 |
Provider Name | Melissa C Stephenson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194282749 PECOS PAC ID: 7517371420 Enrollment ID: I20210203002063 |
Provider Name | Hugh M Freitas |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447847702 PECOS PAC ID: 5496160897 Enrollment ID: I20210217001195 |
Provider Name | Randel Bond |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104427335 PECOS PAC ID: 8820497969 Enrollment ID: I20210524000383 |
Provider Name | Melinda Lee Silvay O'keeffe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528549482 PECOS PAC ID: 6507257540 Enrollment ID: I20211229001540 |
Provider Name | Princess C Uzoh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093457798 PECOS PAC ID: 3072992569 Enrollment ID: I20220613002206 |
Provider Name | Carly Decker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902415870 PECOS PAC ID: 6305228164 Enrollment ID: I20220727000759 |
Provider Name | Salvi M Alday |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871239954 PECOS PAC ID: 2961884721 Enrollment ID: I20220806000072 |
Provider Name | Abiola Oyenwen Izekor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194455741 PECOS PAC ID: 1153704374 Enrollment ID: I20220819001521 |
Provider Name | Racheal Forghab Kedze |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700443736 PECOS PAC ID: 9537545645 Enrollment ID: I20220927002280 |
Provider Name | Simmi Dhalla |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558080549 PECOS PAC ID: 3274901533 Enrollment ID: I20221118000245 |
Provider Name | Bennett Ogochukwu Ndubisi |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588385678 PECOS PAC ID: 0648648568 Enrollment ID: I20221128002080 |
Provider Name | Justin Benedict |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972551398 PECOS PAC ID: 4486638764 Enrollment ID: I20231012000559 |
Provider Name | Uchechi Dibia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033995386 PECOS PAC ID: 8426598004 Enrollment ID: I20240910002258 |
Provider Name | Lali George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265282941 PECOS PAC ID: 7719427277 Enrollment ID: I20240911000431 |
Parker Place Property Owners Association, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10914 Bridlepark Cir, Houston, TX 77016 Phone: 281-449-3233 | |
Healthy Therapeutic Solutions. Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Commerce Park Dr Ste 219, Houston, TX 77036 Phone: 771-771-5151 Fax: 771-771-5156 | |
Pate Psychological Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 South Fwy, Ste F, Houston, TX 77021 Phone: 713-741-8516 Fax: 713-741-8517 | |
Center For Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 176 Uvalde, Houston, TX 77015 Phone: 713-455-7008 Fax: 713-455-4870 | |
West Belfort Family Practice Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8449 W Belfort, 220, Houston, TX 77071 Phone: 281-974-1723 | |
Harizon Healthcare Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7642 Crofton St, Houston, TX 77028 Phone: 832-318-3643 | |
Heartland Physicians Associates Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2222 Maroneal St, 1716, Houston, TX 77030 Phone: 304-346-1969 |