SECOND MILE MISSION CENTER NPI 1689888612

NPI Information

  • NPI: 1689888612
  • Provider Name: SECOND MILE MISSION CENTER
  • Classification: Clinic/Center - 261QC1500X
  • Specialization: Community Health
  • Entity Type: Organization
  • Address: 504 MURPHY RD
    STE.I
    STAFFORD, TX
    ZIP 77477
  • Phone: (281) 261-9199

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NPI Details

SECOND MILE MISSION CENTER is a community health clinic center in Stafford, TX. SECOND MILE MISSION CENTER NPI is 1689888612. The provider is registered as an organization entity type.

The provider's business location address is:

504 MURPHY RD
STE.I
STAFFORD, TX
ZIP 77477-419
Phone: (281) 261-9199
Fax: (281) 403-1143

The provider's authorized official is Cliff Parker .
The authorized official title is Executive Director and has the following contact phone number (281) 261-9199.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 4/9/2008.

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
1261QC1500XClinic/CenterCommunity HealthYes

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
1E38858MEDICARE UPINTEXAS
2C21539MEDICARE UPINTEXAS

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: 3/30/2025

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