Innovative Primary Care Pllc is a
Internal Medicine - Adolescent Medicine based in Houston, Texas. Innovative Primary Care Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
17070 Red Oak Dr Ste 309, Houston, Texas. It can be reached at their office (for appointments etc.) via phone at
(281) 207-0461.
NPI number for Innovative Primary Care Pllc is 1912610353 and their current mailing address is 118 Eldridge Rd Ste A, Sugar Land, Texas. Innovative Primary Care Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1912610353.
Healthcare Provider's Profile
| Full Name | Innovative Primary Care Pllc |
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| Type | Facility |
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| Speciality | Internal Medicine - Adolescent Medicine |
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| Location | 17070 Red Oak Dr Ste 309, Houston, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912610353
- Provider Enumeration Date: 12/30/2022
- Last Update Date: 09/07/2023
Medical Identifiers
Medical identifiers for Innovative Primary Care Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912610353 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | (* (Not Available)) | Secondary |
| 163WW0000X | Registered Nurse - Wound Care | (* (Not Available)) | Secondary |
| 207RA0000X | Internal Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Innovative Primary Care Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Innovative Primary Care Pllc
118 Eldridge Rd Ste A,
Sugar Land, TX 77478-4695
Ph: (832) 564-3526 | Innovative Primary Care Pllc
17070 Red Oak Dr Ste 309,
Houston, TX 77090-2616
Ph: (281) 207-0461 |
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