MEDICARE: ICH HEALTHCARE PA

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	111N00000X	Chiropractor
2	208VP0000X	Pain Medicine Physician	H6108	TX
3	261QP2000X	Physical Therapy Clinic/Center
4	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1689947111
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ICH HEALTHCARE PA

Provider Business Mailing Address
First Line	:	11100 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-3602
Country	:	US
Telephone Number	:	713-771-2225
Fax Number	:	713-771-1876

Provider Business Practice Location Address
First Line	:	11100 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77031-3602
Country	:	US
Telephone Number	:	713-771-2225
Fax Number	:	713-771-1876

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JEREMY SZETO
Credential	:	DO
Telephone Number	:	713-771-2225

Provider Enumeration Date	:	02/14/2012
Last Update Date	:	05/28/2024

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Directions to “ICH HEALTHCARE PA ” Practice Location

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