Organization · NPI-2

Activate Family Health, PLLC

Nurse Practitioner, Family · Conroe, TX

NPI number1285235929

StatusActive

Last updated in NPPESNov 7, 2020

Details

NPI: 1285235929
Entity type: Organization (NPI-2)
Legal business name: Activate Family Health, PLLC
Organization subpart: No
Enumeration date: Nov 7, 2020
Certification date: Nov 7, 2020
Last updated: Nov 7, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	–	–	Yes

Practice location

203 E Davis St Ste F-1026
Conroe, TX 77301-3159

Phone 936-647-5380 · Fax 936-703-5900

Mailing address

203 E Davis St Ste F-1026
Conroe, TX 77301-3159

Phone 936-647-5380

Authorized official

Jennifer Hopson
Nurse Practitioner
9366475380

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