MILLENNIUM PHYSICIANS ASSOCIATON PLLC NPI 1114335775

NPI Information

NPI: 1114335775
Provider Name: MILLENNIUM PHYSICIANS ASSOCIATON, PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D2128598

Address:
22710 PROFESSIONAL DR
SUITE 203
KINGWOOD, TX
ZIP 77339
Phone: (281) 312-8530
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MILLENNIUM PHYSICIANS ASSOCIATON, PLLC is a family nurse practitioner in Kingwood, TX. MILLENNIUM PHYSICIANS ASSOCIATON, PLLC NPI is 1114335775. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22710 PROFESSIONAL DR
SUITE 203
KINGWOOD, TX
ZIP 77339-008
Phone: (281) 312-8530
Fax: (281) 312-8532

The provider's authorized official is Melody A Molloy .
The authorized official title is C.o.o. and has the following contact phone number (281) 358-2850.

The CLIA number assigned to this NPI record is 45D2128598 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2014 and was last updated on 7/28/2014.

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	363LF0000X	Nurse Practitioner	Family	AP125859	TEXAS	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: 5/5/2024

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