ADA FAMILY HEALTH CLINIC PLLC


Address: 8191 Southwest Fwy Ste 101, Houston, TX 77074-1700
Phone: 8326699409

ADA FAMILY HEALTH CLINIC PLLC (NPI# 1154894822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154894822
Entity Type Organization
Organization Name ADA FAMILY HEALTH CLINIC PLLC
Other Organization Name ADA FAMILY HEALTH CLINIC
Practice Address 8191 Southwest Fwy Ste 101
Houston
TX 77074-1700
Mailing Address 9802 Forum Park Dr Apt 3234
Houston
TX 77036-8217
Practice Telephone 8326699409
Practice Fax Number 8326699410
Mailing Telephone 7086777151
Enumeration Date 2019-01-05
Last Update Date 2020-02-07
Authorized Official Name TASHIBA WILLIAMS (ADMINISTRATOR)
Authorized Official Telephone 8326699409
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 1306390414 05

Other Provider/Organization Names

Other Name Type Code
ada family health clinic Doing Business As Name - Organization

Office Location

Street Address 8191 SOUTHWEST FWY STE 101
City HOUSTON
State TX
Zip Code 77074-1700

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1932667474 Catherine Taylor Pence Nurse Practitioner 150 Sabine St Apt 158, Houston, TX 77007-8355 2019-03-04
1346726387 Adaure Ugwoegbu Nurse Practitioner 3119 Clipper Winds Way, Houston, TX 77084-7619 2018-07-12
1841707676 Tammie Rena Bryant Nurse Practitioner 14935 S Richmond Ave Apt 1917, Houston, TX 77082-1598 2018-01-02
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1316392483 Juenella Hatchett Nurse Practitioner 10206 Sagegate Dr, Houston, TX 77089-5127 2016-04-26
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Competitor

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City HOUSTON
Zip Code 77074

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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