EVERCARE FAMILY CLINIC PLLC NPI 1619522315

NPI Information

NPI: 1619522315
Provider Name: EVERCARE FAMILY CLINIC PLLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 45D2173735

Address:
1417 FM 1463 RD STE 120
KATY, TX
ZIP 77494
Phone: (713) 429-5051
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EVERCARE FAMILY CLINIC PLLC is a family nurse practitioner in Katy, TX. EVERCARE FAMILY CLINIC PLLC NPI is 1619522315. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1417 FM 1463 RD STE 120
KATY, TX
ZIP 77494-456
Phone: (713) 429-5051

The provider's authorized official is Israel Vacarcel .
The authorized official title is Nurse Practitioner and has the following contact phone number (832) 335-8410.

The CLIA number assigned to this NPI record is 45D2173735 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2019 and was last updated on 5/21/2021.

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	363LF0000X	Nurse Practitioner	Family			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1205391232	OTHER	TEXAS	NPI

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

NPI Synchronization or Removal

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