Diverse Community Healthcare PLLC
Internal Medicine in Porter, TX. Organization (NPI-2).
NPI number1295291367
StatusActive
Last updated in NPPESNov 5, 2026
Details
- NPI
- 1295291367
- Entity type
- Organization (NPI-2)
- Legal business name
- Diverse Community Healthcare PLLC
- Organization subpart
- No
- Enumeration date
- Feb 14, 2019
- Certification date
- Nov 5, 2026
- Last updated
- Nov 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
21693 Fm 1314 Rd Ste 400Porter, TX 77365-7680
Phone 281-354-2417 · Fax 281-786-0267
Mailing address
21693 Fm 1314 Rd Ste 400Porter, TX 77365-7680
Phone 281-354-2417 · Fax 281-786-0267
Authorized official
Randall Roland
Owner/Provider
2813542417
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