| Wilmar Healthcare Systems, Inc. | |
|
10103 Fondren Rd Ste 475 475 Houston TX 77096-4671 | |
| (713) 988-2956 | |
| (713) 988-4855 |
| Full Name | Wilmar Healthcare Systems, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 10103 Fondren Rd Ste 475, Houston, Texas |
| Authorized Official Name and Position | William Owuama (ADMINISTRATOR) |
| Authorized Official Contact | 7139882956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilmar Healthcare Systems, Inc. 10103 Fondren Rd Ste 475 475 Houston TX 77096-4671 Ph: (713) 988-2956 | Wilmar Healthcare Systems, Inc. 10103 Fondren Rd Ste 475 475 Houston TX 77096-4671 Ph: (713) 988-2956 |
| NPI Number | 1831287218 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 09/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831287218 | NPI | - | NPPES |
| 147163303 | Medicaid | TX | |
| 147163302 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | G9623 (Texas) | Secondary |
| 103T00000X | Psychologist | 23456 (Texas) | Primary |
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