Jacklin G Tawadrous (NPI# 1730493479, PAC ID# 3072893890) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1730493479 |
| PAC ID by PECOS | 3072893890 |
| Professional Enrollment ID | I20161213000162 |
| Full Name | Jacklin G Tawadrous |
| Organization Legal Name | CAROLE AND RONALD KRIST SAMARITAN COUNSELING CENTER |
| Address |
16441 Space Ctr Blvd Suite C100 Houston TX 77058-2015 |
| Phone Number | 2814807554 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 8325274152 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 16441 Space Ctr Blvd, Suite C100, Houston, TX 77058-2015 | 2814807554 | CAROLE AND RONALD KRIST SAMARITAN COUNSELING CENTER |
| 6363 Research Forest Dr, The Woodlands, TX 77381-6029 | 2814807554 | CAROLE AND RONALD KRIST SAMARITAN COUNSELING CENTER |
| Organization Legal Name | CAROLE AND RONALD KRIST SAMARITAN COUNSELING CENTER |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Lord | Clinical Social Worker | Carole and Ronald Krist Samaritan Counseling Center | 16441 Space Ctr Blvd, Suite C100, Houston, TX 77058-2015 |
| Rebecca A Wallace | Clinical Social Worker | Carole and Ronald Krist Samaritan Counseling Center | 6363 Research Forest Dr, The Woodlands, TX 77381-6029 |
| Holly M Teitsma | Psychologist, Clinical | Carole and Ronald Krist Samaritan Counseling Center | 16441 Space Ctr Blvd, Suite C100, Houston, TX 77058-2015 |
| Athena R Patelis | Psychologist, Clinical | Carole and Ronald Krist Samaritan Counseling Center | 16441 Space Ctr Blvd, Suite C100, Houston, TX 77058-2015 |
| Lauren Wood | Clinical Social Worker | Carole and Ronald Krist Samaritan Counseling Center | 16441 Space Ctr Blvd, Suite C100, Houston, TX 77058-2015 |
| Street Address |
16441 SPACE CTR BLVD SUITE C100 |
| City | HOUSTON |
| State | TX |
| Zip | 77058-2015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Lord | Clinical Social Worker | Carole and Ronald Krist Samaritan Counseling Center | 16441 Space Ctr Blvd, Suite C100, Houston, TX 77058-2015 |
| Holly M Teitsma | Psychologist, Clinical | Carole and Ronald Krist Samaritan Counseling Center | 16441 Space Ctr Blvd, Suite C100, Houston, TX 77058-2015 |
| Athena R Patelis | Psychologist, Clinical | Carole and Ronald Krist Samaritan Counseling Center | 16441 Space Ctr Blvd, Suite C100, Houston, TX 77058-2015 |
| Lauren Wood | Clinical Social Worker | Carole and Ronald Krist Samaritan Counseling Center | 16441 Space Ctr Blvd, Suite C100, Houston, TX 77058-2015 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Barlow | Plastic and Reconstructive Surgery | 2060, Suite 310, Nassau Bay, TX 77058 | |
| Tikisha L Smith | Nurse Practitioner | Minuteclinic Diagnostic of Texas LLC | 2469 Bay Area Blvd, Houston, TX 77058-1519 |
| Cindy N Berthelot | Dermatology | 2565 Bay Area Blvd, Houston, TX 77058-1521 | |
| Vissett Scott Sun | Optometry | Hopping Eye Associates Ltd LLP | 1234 Bay Area Blvd E, Houston, TX 77058-2538 |
| Desiree Hopping | Optometry | Hopping Eye Associates Ltd LLP | 1234 Bay Area Blvd E, Houston, TX 77058-2538 |
| Ronald Lee Hopping | Optometry | Hopping Eye Associates Ltd LLP | 1234 Bay Area Blvd E, Houston, TX 77058-2538 |
| Howard Lavon Dillard Jr. | Internal Medicine | 1234 Bay Area Blvd, Suite B, Houston, TX 77058-2538 | |
| Reed Austin Hopping | Optometry | Hopping Eye Associates Ltd LLP | 1234 Bay Area Blvd E, Houston, TX 77058-2538 |
| Juan M Prati | Optometry | Hopping Eye Associates Ltd LLP | 1234 Bay Area Blvd E, Houston, TX 77058-2538 |
| Sharon K Whitley | Clinical Social Worker | 16815 Royal Crest Dr, Suite 270, Houston, TX 77058-2552 | |
| Find all physicians in zip 77058 | |||
| City | HOUSTON |
| Zip Code | 77058 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | HOUSTON + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jacklin G Tawadrous.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.