Accucare Health Systems
Nurse Practitioner in Humble, TX. Organization (NPI-2).
NPI number1215353495
StatusActive
Last updated in NPPESMar 11, 2014
Details
- NPI
- 1215353495
- Entity type
- Organization (NPI-2)
- Legal business name
- Accucare Health Systems
- Organization subpart
- No
- Enumeration date
- Mar 11, 2014
- Last updated
- Mar 11, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
1931 Humble Place DrSte 207
Humble, TX 77338-5255
Phone 832-249-0997 · Fax 281-318-7183
Mailing address
12634 Blackstone River DrHumble, TX 77346-3540
Phone 832-249-0997 · Fax 281-318-7183
Authorized official
Tina Renee Domio
Administrator/Owner
8322490997
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