| Impact Healthcare Pllc | |
|
9114 Wheat Cross Dr Houston TX 77095-5215 | |
| (832) 790-3070 | |
| Not Available |
| Full Name | Impact Healthcare Pllc |
|---|---|
| Speciality | General Practice |
| Location | 9114 Wheat Cross Dr, Houston, Texas |
| Authorized Official Name and Position | Regine Patillo (CO-OWNER) |
| Authorized Official Contact | 8327903070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Healthcare Pllc 9114 Wheat Cross Dr Houston TX 77095-5215 Ph: () - | Impact Healthcare Pllc 9114 Wheat Cross Dr Houston TX 77095-5215 Ph: (832) 790-3070 |
| NPI Number | 1144929639 |
|---|---|
| Provider Enumeration Date | 02/23/2023 |
| Last Update Date | 02/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144929639 | NPI | - | NPPES |
| 1689109779 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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