Idic Healthcare, Pllc - Houston, TX

Idic Healthcare, Pllc

Multi-Specialty Clinic/Center in Houston, Texas

NPI 1174966915

Idic Healthcare, Pllc is a Multi-Specialty Clinic/Center based in Richmond, TX and is specialized in Multi-Specialty. Idic Healthcare, Pllc practices in Houston, TX. The NPI Number for Idic Healthcare, Pllc is 1174966915 and holds a License No. (Texas).

The current practice location address for Idic Healthcare, Pllc is 627 W. 19Th St., Houston, TX and can be reached out via phone at 832-248-4636 and via fax at 866-804-7241.

Location: 627 W. 19Th St., Houston, TX, 77469-7398

NPI Number

1174966915

Provider Name

Idic Healthcare, Pllc

Credential

Provider Entity Type

Organization

Address

627 W. 19Th St., Houston, TX, 77469-7398

Phone Number

832-248-4636

Fax Number

866-804-7241

Provider Enumeration Date

04/11/2013

Last Update Date

03/12/2024

Identifier	Type	State	Issuer
31626	01	TX	LBSW LICENSE NUMBER
5210	01	TX	LMFT LICENSE NUMBER

Address

627 W. 19Th St.

City

Houston

State

Texas

Zip

77008-3613

Phone Number

832-248-4636

Fax Number

866-804-7241

Address

627 W. 19Th St.

City

Houston

State

Texas

Zip

77008-3613

Phone Number

832-248-4636

Fax Number

866-804-7241

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Mental Health (Including Community Mental Health Center)

Taxonomy

261QM0801X

License No.

()

Definition

Definition to come...

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Adult Mental Health

Taxonomy

261QM0850X

License No.

()

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Adolescent and Children Mental Health

Taxonomy

261QM0855X

License No.

()

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Multi-Specialty

Taxonomy

261QM1300X

License No.

()

Definition

Definition to come...

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