MEDICARE: PREFERRED HEALTHCARE GROUP LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	251S00000X	Community/Behavioral Health Agency	TX
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	TX
3	103K00000X	Behavior Analyst
4	251B00000X	Case Management Agency	TX

General Provider Information

NPI Number	:	1952893380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED HEALTHCARE GROUP LLC

Provider Business Mailing Address
First Line	:	5501 CABRERA DR STE 201
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7261
Country	:	US
Telephone Number	:	713-360-7773
Fax Number	:	713-360-7774

Provider Business Practice Location Address
First Line	:	5501 CABRERA DR STE 201
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7261
Country	:	US
Telephone Number	:	713-360-7773
Fax Number	:	713-360-7774

Authorized Official
Title or Position	:	MANAGER
Name	:	MARTIN MBAKA
Credential	:
Telephone Number	:	713-909-5220

Provider Enumeration Date	:	06/01/2018
Last Update Date	:	03/25/2026

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