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NPI Code Detail

MEDICARE: PERCIPIO PLLC

MEDICARE: PERCIPIO PLLC
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
1101YP2500XProfessional Counselor66505TX
2103G00000XClinical Neuropsychologist

General Provider Information

NPI Number : 1306259379
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERCIPIO PLLC
Provider Business Mailing Address
First Line : 5858 WESTHEIMER RD STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77057-5643
Country : US
Telephone Number : 713-487-9310
Fax Number : 713-489-1719
Provider Business Practice Location Address
First Line : 5858 WESTHEIMER RD STE 200
Second Line :
City : HOUSTON
State : TX
Zip : 77057-5643
Country : US
Telephone Number : 713-487-9310
Fax Number : 713-489-1719
Authorized Official
Title or Position : OWNER
Name : ANDRES TAPIA
Credential : P.H.D
Telephone Number : 713-487-9310
Provider Enumeration Date : 06/08/2014
Last Update Date : 04/07/2021

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