ACM HEALTHCARE GROUPLLC NPI 1750055406

NPI Information

NPI: 1750055406
Provider Name: ACM HEALTHCARE GROUP,LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2237472

Address:
4828A EAST MOUNT HOUSTON RD
HOUSTON, TX
ZIP 77093
Phone: (832) 604-4900
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ACM HEALTHCARE GROUP,LLC is a primary care nurse practitioner in Houston, TX. ACM HEALTHCARE GROUP,LLC NPI is 1750055406. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4828A EAST MOUNT HOUSTON RD
HOUSTON, TX
ZIP 77093-633
Phone: (832) 604-4900

The provider's authorized official is Anisleidy Costa Manzano .
The authorized official title is Fnp/owner and has the following contact phone number (832) 604-4900.

The CLIA number assigned to this NPI record is 45D2237472 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2021 and was last updated on 8/5/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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