| Nexcare Wellness Clinic | |
|
1935 Texas Pkwy Missouri City TX 77489-3121 | |
| (832) 519-9339 | |
| (346) 388-3014 |
| Full Name | Nexcare Wellness Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1935 Texas Pkwy, Missouri City, Texas |
| Authorized Official Name and Position | Joulvous Vencin Drake (OWNER/PROVIDER) |
| Authorized Official Contact | 8322785558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nexcare Wellness Clinic Po Box 2267 Missouri City TX 77459-9267 Ph: (832) 519-9339 | Nexcare Wellness Clinic 1935 Texas Pkwy Missouri City TX 77489-3121 Ph: (832) 519-9339 |
| NPI Number | 1588204242 |
|---|---|
| Provider Enumeration Date | 01/10/2020 |
| Last Update Date | 09/22/2020 |
| Medicare PECOS PAC ID | 5991123648 |
|---|---|
| Medicare Enrollment ID | O20200914001051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588204242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joulvous Vencin Drake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518255322 PECOS PAC ID: 7719305366 Enrollment ID: I20200914001097 |
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