| Innovista Medical Center Of Texas Pa | |
|
350 S Plano Rd Richardson TX 75081-4505 | |
| (305) 470-2929 | |
| Not Available |
| Full Name | Innovista Medical Center Of Texas Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 350 S Plano Rd, Richardson, Texas |
| Authorized Official Name and Position | Mia Willhite (OWNER) |
| Authorized Official Contact | 2697207042 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovista Medical Center Of Texas Pa 12586 Westheimer Rd Houston TX 77077-5865 Ph: () - | Innovista Medical Center Of Texas Pa 350 S Plano Rd Richardson TX 75081-4505 Ph: (305) 470-2929 |
| NPI Number | 1508411083 |
|---|---|
| Provider Enumeration Date | 08/01/2019 |
| Last Update Date | 04/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508411083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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