ADA FAMILY HEALTH CLINIC PLLC NPI 1154894822

NPI Information

ADA FAMILY HEALTH CLINIC PLLC is a primary care nurse practitioner in Houston, TX. ADA FAMILY HEALTH CLINIC PLLC NPI is 1154894822. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ada Family Health Clinic.

The provider's business location address is:

8191 SOUTHWEST FWY STE 101
HOUSTON, TX
ZIP 77074-700
Phone: (832) 669-9409
Fax: (832) 669-9410

The provider's authorized official is Tashiba Williams .
The authorized official title is Administrator and has the following contact phone number (832) 669-9409.

The CLIA number assigned to this NPI record is 45D2161366 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2019 and was last updated on 2/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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