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FREEDOMCARE LLC NPI 1003412990


NPI Information

NPI: 1003412990
Provider Name: FREEDOMCARE LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
6300 WESTPARK DR STE 130
HOUSTON, TX
ZIP 77057
Phone: (832) 834-5631
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FREEDOMCARE LLC is a clinic center in Houston, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FREEDOMCARE LLC NPI is 1003412990. The provider is registered as an organization entity type.

The provider's business location address is:

6300 WESTPARK DR STE 130
HOUSTON, TX
ZIP 77057-205
Phone: (832) 834-5631
Fax: (832) 834-5719

The provider's authorized official is Angela Henderson-johnson .
The authorized official title is Administrator and has the following contact phone number (832) 216-9078.

The enumeration date for this NPI number is 12/7/2020 and was last updated on 12/11/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120378085OTHERTEXASDRIVER'S LICENSE

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: 11/14/2023

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