Independen Provider
Independen Provider is a Community Health Clinic/Center in Houston, Texas. Licensed in Texas. Registered with an NPI since 2008.
- Licensed in
- TX
- In the registry since
- 2008
Practice location Address checks out
12430 Janey StHouston, TX 77015-6616
Phone: (713) 453-8355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Clinic/Center (primary) | Taxonomy 261QC1500X · Licence NA8095978 (TX) |
|---|
Record details
| NPI number | 1720243165 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ledys Garcia — Nursing Assistant · (713) 453-8355 |
| Other names | Ledys Garcia |
| NPI enumerated | July 24, 2008 |
| Last updated in NPPES | July 24, 2008 |
| Mailing address | 12430 Janey St, Houston, TX 77015-6616 |
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