| Reverence Equality Healthcare Llc | |
|
11811 North Fwy Ste 100 Houston TX 77060-3244 | |
| (346) 329-3181 | |
| (832) 558-9059 |
| Full Name | Reverence Equality Healthcare Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 11811 North Fwy Ste 100, Houston, Texas |
| Authorized Official Name and Position | Umecca Diane Cowart (CEO) |
| Authorized Official Contact | 3463293181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reverence Equality Healthcare Llc 19211 Springerton Cir Spring TX 77373-8414 Ph: (346) 329-3181 | Reverence Equality Healthcare Llc 11811 North Fwy Ste 100 Houston TX 77060-3244 Ph: (346) 329-3181 |
| NPI Number | 1063002632 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 01/27/2022 |
| Certification Date | 01/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063002632 | NPI | - | NPPES |
| 1063002632 | Medicaid | TX | |
| 0260314 | Medicaid | OH |
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