MEDICARE: HOUSTON PATIENT ADVOCACY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator
2	174H00000X	Health Educator

General Provider Information

NPI Number	:	1053789107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON PATIENT ADVOCACY, LLC

Provider Business Mailing Address
First Line	:	6800 WEST LOOP S STE 460
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-4533
Country	:	US
Telephone Number	:	281-888-2406
Fax Number	:	832-200-3683

Provider Business Practice Location Address
First Line	:	6800 WEST LOOP S STE 460
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-4533
Country	:	US
Telephone Number	:	281-888-2406
Fax Number	:	832-200-3683

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VIC RAJAN
Credential	:	M.D.
Telephone Number	:	832-447-0989

Provider Enumeration Date	:	09/07/2015
Last Update Date	:	09/07/2015

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