PERSEVERANCE HEATLH INNOVATION LTD NPI 1710411616

NPI Information

NPI: 1710411616
Provider Name: PERSEVERANCE HEATLH INNOVATION LTD

Doing Business As: WELLMOBILE

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
21706 WILLOW DOWNS
TOMBALL, TX
ZIP 77375
Phone: (832) 380-0216
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PERSEVERANCE HEATLH INNOVATION LTD is a family nurse practitioner in Tomball, TX. PERSEVERANCE HEATLH INNOVATION LTD NPI is 1710411616. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wellmobile.

The provider's business location address is:

21706 WILLOW DOWNS
TOMBALL, TX
ZIP 77375
Phone: (832) 380-0216
Fax: (281) 745-4367

The provider's authorized official is Kiersten Chantelle Williams-bolton .
The authorized official title is Ceo/executive Director and has the following contact phone number (832) 380-0216.

The enumeration date for this NPI number is 4/18/2017 and was last updated on 4/18/2017.

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	171W00000X	Contractor		N7983	TEXAS	No
2	172V00000X	Community Health Worker		7397	TEXAS	No
3	363LF0000X	Nurse Practitioner	Family	771216	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

NPI Synchronization or Removal

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