Providence Medical & Mental Health Clinic
LBN: Providence Wellness Inc
Providence Medical & Mental Health Clinic is an health care organization with primary practice located at 13155 Westheimer Rd Ste 133 , Houston TX 77077-5529. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Providence Wellness Inc can be contacted via phone (281) 920-0344, or through Eke-Huber, Esther Akunna via phone (281) 920-0344.
Contact Information
Primary practice address
13155 Westheimer Rd Ste 133
Houston TX 77077-5529
Phone: (281) 920-0344
Fax: (281) 920-0263
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 801287323 | Texas |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | Texas |
Profile Details
| NPI number | 1790061315 |
|---|---|
| LBN Legal business name | Providence Wellness Inc |
| DBA Doing business as | Providence Medical & Mental Health Clinic |
| Authorized official | Eke-Huber, Esther Akunna |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 27th, 2011 |
| Last updated | May 13th, 2024 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790061315 | NPPES |
| Texas | MEDICAID | 363LP0808X | |
| Texas | Other | APRN11015237 | |
| Texas | MEDICAID | 363LA2200X | |
| Texas | Other | AP118542 | |
| Texas | Other | 118542 | |
| Texas | Other | 78132 |
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