45D2188210 CLIA NUMBER - NEXCARE WELLNESS CLINIC

Laboratory Demographics

CLIA Number: 45D2188210

Facility Name: NEXCARE WELLNESS CLINIC

Facility Address:
1935 TEXAS PARKWAY
MISSOURI CITY, TX
ZIP 77489
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Facility Phone Number: 832 519-9339

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1588204242

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	45D2188210
LAB Type	Practitioner Other
Facility Name	NEXCARE WELLNESS CLINIC
Street	1935 TEXAS PARKWAY
City	MISSOURI CITY
State	TX
ZIP	77489
Phone	832 519-9339
CertificateType	4
CertificateEffectiveDate	7/14/2022
CertificateExpirationDate	7/13/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024