| Wah Psychiatrist Pllc | |
|
11104 W Airport Blvd Ste 215c Stafford TX 77477-3035 | |
| (240) 547-8312 | |
| Not Available |
| Full Name | Wah Psychiatrist Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 11104 W Airport Blvd Ste 215c, Stafford, Texas |
| Authorized Official Name and Position | Priscilla Omoleme (CEO) |
| Authorized Official Contact | 2405478312 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wah Psychiatrist Pllc 11104 W Airport Blvd Ste 215c Stafford TX 77477-3035 Ph: () - | Wah Psychiatrist Pllc 11104 W Airport Blvd Ste 215c Stafford TX 77477-3035 Ph: (240) 547-8312 |
| NPI Number | 1518665611 |
|---|---|
| Provider Enumeration Date | 02/17/2023 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Medicare PECOS PAC ID | 0941665111 |
|---|---|
| Medicare Enrollment ID | O20230424001996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518665611 | NPI | - | NPPES |
| Provider Name | Priscillia Timoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043554991 PECOS PAC ID: 0648605816 Enrollment ID: I20220919001752 |
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