Advance Family Clinic LLC
Nurse Practitioner, Family in Sugar Land, TX. Organization (NPI-2).
NPI number1235801366
StatusActive
Last updated in NPPESDec 23, 2021
Details
- NPI
- 1235801366
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Family Clinic LLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2021
- Certification date
- Dec 23, 2021
- Last updated
- Dec 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Practice location
5015 Lark Creek CtSugar Land, TX 77479-3866
Phone 832-616-6718
Mailing address
5015 Lark Creek CtSugar Land, TX 77479-3866
Phone 832-616-6718
Authorized official
Ezinne Blessing Chukwuocha
Fnp
8326166718
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