| Advanced Healthcare Practice Llc | |
|
6140 N Sam Houston Pkwy W Houston TX 77066-5002 | |
| (832) 519-8093 | |
| (832) 218-3378 |
| Full Name | Advanced Healthcare Practice Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6140 N Sam Houston Pkwy W, Houston, Texas |
| Authorized Official Name and Position | Fauska Bashabe (NURSE PRACTITIONER) |
| Authorized Official Contact | 3137126763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Healthcare Practice Llc 7422 Shady Lake Grv Richmond TX 77407-3181 Ph: (832) 519-8093 | Advanced Healthcare Practice Llc 6140 N Sam Houston Pkwy W Houston TX 77066-5002 Ph: (832) 519-8093 |
| NPI Number | 1871100438 |
|---|---|
| Provider Enumeration Date | 09/28/2020 |
| Last Update Date | 03/12/2025 |
| Medicare PECOS PAC ID | 5698189736 |
|---|---|
| Medicare Enrollment ID | O20210201000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871100438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Primary |
| Provider Name | Fauska Bashabe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316408198 PECOS PAC ID: 2062743248 Enrollment ID: I20191021000521 |
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