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COMMUNITY HEALTH AND LIFE CENTER PLLC NPI 1609369172


NPI Information

NPI: 1609369172
Provider Name: COMMUNITY HEALTH AND LIFE CENTER, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 45D2152379

Address:
17510 W GRAND PKWY S STE 380
SUGAR LAND, TX
ZIP 77479
Phone: (281) 615-6466
Get Directions

COMMUNITY HEALTH AND LIFE CENTER, PLLC is a family medicine in Sugar Land, TX. The provider is 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. COMMUNITY HEALTH AND LIFE CENTER, PLLC NPI is 1609369172. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17510 W GRAND PKWY S STE 380
SUGAR LAND, TX
ZIP 77479-649
Phone: (281) 615-6466

The provider's authorized official is Daniel A. Nwachokor .
The authorized official title is Owner and has the following contact phone number (281) 615-6466.

The CLIA number assigned to this NPI record is 45D2152379 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2018 and was last updated on 10/16/2018.


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
1207Q00000XFamily MedicineYes

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
11992182398MEDICAIDTEXAS

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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